| NPI | 1043372709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIS HOULE Chief Financial Officer 802-334-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2019-09-13 |