| NPI | 1245615814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MASON Owner 802-498-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 0680057761) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |