| NPI | 1144522392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN HORROCKS Substance Abuse Counselor 802-399-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 000115) |
| Enumeration Date | 2010-11-20 |
| Last Update Date | 2010-11-20 |