| NPI | 1386710861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE GIDNEY Dir. Quality Assurance 802-728-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2019-06-18 |