NPI | 1144054818 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA GAUTREAUX Owner/Clinician 802-365-1751 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-08-27 |
Last Update Date | 2024-08-27 |