| NPI | 1336105451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LAWRENCE GREEN President 802-658-2390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068-0000015) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-22 |