| NPI | 1366002636 |
|---|---|
| Other Name | LINDEN STREET RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | CATHY POTTER Supervisor 802-258-6885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |