| NPI | 1447753652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY K PORTER Licensed Clinical Social Worker 802-578-4487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NC C010443) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |