| NPI | 1568641496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN DATTILO BOYD President 802-349-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0890001058) |
| Enumeration Date | 2007-10-27 |
| Last Update Date | 2011-01-05 |