| NPI | 1285404400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN BINGHAM Therapist; Clinical Supervisor 802-266-4983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |