| NPI | 1063186450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE PITMAN DROWN Clinical Mental Helath Counselor 802-487-4347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |