| NPI | 1497468292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON THOMPSON Financial Director Iv 802-241-0118 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2022-12-27 |