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 |