NPI | 1427104132 |
---|---|
Entity Type | Organization |
Authorized Contact | LORNA W MATTERN Executive Director 802-442-5491 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 251B00000X Case Management |
251C00000X Day Training, Developmentally Disabled Services | |
251S00000X | |
261QC1500X Clinic/Center, Community Health | |
261QD1600X Clinic/Center, Developmental Disabilities | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
310400000X Assisted Living Facility | |
Enumeration Date | 2007-01-26 |
Last Update Date | 2019-05-07 |