| NPI | 1295341931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY PICHLER President 802-448-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |