| NPI | 1053853564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE TREADWELL-BROOKES Mental Health Clinical/Owner 802-272-6648 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VT 068.0110712) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |