| NPI | 1215010343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA DENISE BULLOCK Social Program Specialist 802-295-9363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-07-21 |