| NPI | 1073636700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CUTTS Insurance Credentialing Coordinator 802-886-8953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: VT 694) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2025-01-17 |