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Organization

BECKET ACADEMY, INC.

Active
Other names
Becket Family of Services
Organization subpart
No

Provider details

NPI number
Authorized official
JAY WOLTER (PRESIDENT)
(603) 353-9102
Entity
Organization

Contact information

Practice address
23 S MAIN ST, HANOVER, NH 03755-2075
(603) 353-9102
Mailing address
PO BOX 325, ORFORD, NH 03777-0325
(802) 379-5821

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
104100000X
Social Worker
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
208D00000X
General Practice Physician
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
253J00000X
Foster Care Agency
Primary
253Z00000X
In Home Supportive Care Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
311ZA0620X
Adult Care Home Facility
363L00000X
Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
10/04/2018
Last updated
06/04/2025
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