NPI | 1073636700 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY CUTTS Insurance Credentialing Coordinator 802-886-8953 |
Organization Subpart ? | Yes |
Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: VT 694) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2007-04-09 |
Last Update Date | 2022-06-15 |