| NPI | 1265803068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER LEE CLOUD Owner/ Counselor/ Consultant 802-738-0679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VT 068.0107168) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: VT 000666) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |