| NPI | 1295093599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMONA RUSSELL Executive Director 802-296-7663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |