| NPI | 1104312057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE R DION Member 802-356-7347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0890001116) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |