Provider Demographics
NPI:1427733948
Name:FRANKLIN AND NORTH QUABBIN CHILDRENS ADVOCACY CENTER INC
Entity type:Organization
Organization Name:FRANKLIN AND NORTH QUABBIN CHILDRENS ADVOCACY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRANT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:413-768-4115
Mailing Address - Street 1:PO BOX 1099
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01302-1099
Mailing Address - Country:US
Mailing Address - Phone:413-475-3401
Mailing Address - Fax:
Practice Address - Street 1:56 WISDOM WAY
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3102
Practice Address - Country:US
Practice Address - Phone:413-475-3401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty