| NPI | 1205433703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A. BANKS Executive Director 802-732-2516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |