NPI | 1134346687 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDY MCGUIRE Chief Executive Officer 802-488-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2007-04-19 |
Last Update Date | 2024-05-30 |