| NPI | 1134346687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY MCGUIRE Chief Executive Officer 802-488-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2025-04-29 |