| NPI | 1255536991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MONETTE Chief Financial Officer 802-258-4312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: VT 649) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2017-03-24 |