| NPI | 1316070485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GRIMS Chief Executive Officer 802-334-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |