| NPI | 1568212777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAN M BEATTIE Owner 802-535-5972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |