Organization Name: | FLYING HIGH FARM, INC |
NPI Number: | 1598954539 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE RANDLE (PRESIDENT) |
Mailing Address: | 615 Leominster Rd Lunenburg |
State: | MA US |
Postal Code: | 014622013 |
Phone Number: | 9785827103 |
Fax Number: | 7755827103 |
NPI Enumeration Date: | 10/16/2007 |
NPI Last Update Date: | 10/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 111274 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |