| NPI | 1194749754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J POUR Vice President Of Operations 802-775-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |