| NPI | 1316933583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIKA PARENTEAU Owner/Doctor 802-334-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VT 0300000278) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2009-09-21 |