| NPI | 1366082422 |
|---|---|
| Other Name | ELIZABETH KENDRICK |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KENDRICK Member 802-595-3788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |