| NPI | 1528551033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTYN HARRINGTON Owner 802-367-3165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0000709) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151.0127406) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-08-30 |