| NPI | 1568188662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HAYES Owner/Operator 802-243-0215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |