| NPI | 1164816310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN BREE ROLAND Clinical Psychologist 802-540-8140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VT 0480060637) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-04-12 |