| NPI | 1336348705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW RICHARDS-PEELLE Business Manager 802-492-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VT 0526) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: VT 0526) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |