| NPI | 1366579112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNA W MATTERN Executive Director 802-442-5491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2023-11-03 |