NPI | 1134252893 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC GRIMS Chief Executive Officer 802-334-6744 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2007-03-13 |
Last Update Date | 2020-08-22 |