| NPI | 1073442737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE BAKER Operations Manager 802-254-0252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-05-18 |
| Last Update Date | 2026-05-18 |