| NPI | 1225199136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JANE R ALEXANDER Operations Manager 802-525-6939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: VT 0513) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |