| NPI | 1003623141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE M CYR Billing Manager 802-393-6412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |