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 Clinic/Center |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
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 |