Organization
FAIRWINDS-NANTUCKETS COUNSELING CENTER
Active
Other names
Family&Children's Services of Nantucket County, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JASON BRIDGES (EXECUTIVE DIRECTOR)
(508) 228-2689
Entity
Organization
Contact information
Practice address
20 VESPER LN, L-1 GOUIN VILLAGE, NANTUCKET, MA 02554-4394
(508) 228-2689
(508) 228-3613
Mailing address
20 VESPER LN, L-1 GOUIN VILLAGE, NANTUCKET, MA 02554-4394
(508) 228-2684
(508) 228-3613
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0549
MA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0549
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301721
—
MA
01
—
329925
HARVARD PILGRIM PPO
MA
01
—
M18553
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
10/11/2006
Last updated
02/18/2022
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