| NPI | 1255822391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY S WOODRUFF Case Management Coordinator 802-448-3618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |