| NPI | 1023312246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA K BENNETT Owner 802-442-3520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VT 042-0007424) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |