| NPI | 1235566969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HEALD Coordinator A/R 802-770-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2023-11-07 |