| NPI | 1083967640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOYCE Sole Member 802-264-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0890000718) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |