| NPI | 1386763225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN JAMES HAMEL Owner 802-225-5924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VT 068-000494) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: VT 000099) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |