| NPI | 1285380725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE DRYDEN Owner And Provider 802-552-0658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |