| NPI | 1316071517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK WALLACE CARRUTH President 802-651-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089-0000425) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-11-07 |