NPI | 1316904360 |
---|---|
Doing Business As | MAPLE LEAF TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | CATHERINE IACUZZI CEO & Executive Director 802-899-2911 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
Enumeration Date | 2006-04-26 |
Last Update Date | 2016-11-07 |