| NPI | 1457979130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI TWOMBLY Director Of Primary Care Operations 802-886-8901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |