| NPI | 1063501476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED JOHN MABLE Executive Director 802-524-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261Q00000X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0801X | |
| 251C00000X | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 310400000X Assisted Living Facility | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-09-10 |