Organization
INSTITUTE FOR EMERGING ADULTHOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYCELLE MONSANTO PEQUET LICSW (DIRECTOR)
(413) 279-4984
Entity
Organization
Contact information
Practice address
25 MAIN ST STE 218, NORTHAMPTON, MA 01060-3130
(413) 279-4984
Mailing address
25 MAIN ST STE 218, NORTHAMPTON, MA 01060-3130
(413) 279-4984
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
119026
MA
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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