| NPI | 1144347824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HARTMAN CEO 802-888-5026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2023-04-04 |