| NPI | 1043744568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET TERRIEN Nurse Practitioner 802-503-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2018-06-16 |