| NPI | 1427284264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA J GASS Director 802-254-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |