| NPI | 1184200404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PICHE Owner 802-777-8243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2024-02-26 |