| NPI | 1154871630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN LEWELLEN Owner/Licsw 802-559-0255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0097508) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |