NPI | 1134116759 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL DUPRE Chief Executive Officer 802-229-1399 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2005-09-29 |
Last Update Date | 2020-08-22 |