| NPI | 1316675515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA NEWMAN Owner 802-477-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2025-12-09 |