| NPI | 1124652342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LECLERC Clinical Psychologist 802-265-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-09-18 |