| NPI | 1396541827 |
|---|---|
| Doing Business As | TOMASEN WEINBAUM |
| Entity Type | Organization |
| Authorized Contact | TOMASEN W WEINBAUM Sole Member 802-917-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |