| NPI | 1225262199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MONZEL Clinical Social Worker 802-876-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VT 0890000916) |
| Additional Taxonomies | 251S00000X (Licence: VT 000168) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |