| NPI | 1184747339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEE LAUGHLIN Practice Administrator 802-775-7798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101YM0800X Counselor, Mental Health | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-06-20 |