| NPI | 1518675644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS KAHM Owner 802-881-2936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| 133V00000X Dietitian, Registered | |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic | |
| 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |