| NPI | 1346823184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE AMY STARR Psychotherapist 802-793-0875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-04-29 |