NPI | 1043818677 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYCE REILLY Outreach And Marketing Coordinator 802-451-0125 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2020-10-15 |
Last Update Date | 2020-10-15 |