| NPI | 1285498394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKUS FANKHAUSER Agent/Manager/Member/Organizer 802-491-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |