| NPI | 1518394212 |
|---|---|
| Doing Business As | MIDDLESEX THERAPEUTIC COMMUNITY RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | FRANCIS REED Deputy Commissioner Of Mental Hlth 802-828-3824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VT 0610) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |