| NPI | 1386710861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A ROSS CFO 802-728-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 103K00000X Behavior Analyst | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2025-09-16 |