| NPI | 1235684101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSA J CARPENTER Alcohol And Drug Counselor 802-748-5364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: VT 104440) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |