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 |