| NPI | 1538542592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA HILL Office Manager 802-851-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0083541) |
| Additional Taxonomies | 251S00000X (Licence: VT 068.0083541) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-12-16 |