| NPI | 1619214574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE TASSEY Pmhnp 802-318-1907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101-0016244) |
| Enumeration Date | 2013-01-12 |
| Last Update Date | 2015-06-28 |