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 |