| NPI | 1346793155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA A COTTER Owner 603-558-4201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 0680069447) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 000443) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |