NPI | 1134604622 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW BARTER CEO 802-222-4637 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2018-10-01 |
Last Update Date | 2024-12-02 |