| NPI | 1255427001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH TREADWELL Operations Director 802-722-4023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 133V00000X Dietitian, Registered | |
| 207Q00000X Family Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2025-06-12 |