| NPI | 1528547403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERIC R KNIGHTS Manager 802-356-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0130776) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2023-07-07 |