| NPI | 1467132530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN BREAULT-BOLIO Owner/Provider 802-944-4718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |