| NPI | 1427596360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK LAURENCE BROWN Partner 802-727-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VT 0654) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |