| NPI | 1285356071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR JAMES JEWETT Owner/Psychotherapist 802-752-7406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |