| NPI | 1538945001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART MAY CEO 802-888-0901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |