NPI | 1427208495 |
---|---|
Entity Type | Organization |
Authorized Contact | WARREN JAMES HAMEL Owner 802-225-5924 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
Enumeration Date | 2008-09-25 |
Last Update Date | 2008-09-25 |