NPI | 1265727812 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID LOUIS POWSNER Owner / Agent / Clinical Director 802-236-0121 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251B00000X Case Management |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2011-06-12 |
Last Update Date | 2013-03-21 |