| NPI | 1497885107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R MYERS Executive Director 802-658-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261Q00000X |
| 261QM0801X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |