| NPI | 1629450564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD T BARNETT President/CEO 802-373-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: VT 866) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VT 866) |
| 103TC0700X Psychologist, Clinical (Licence: NY 16225) | |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2015-06-27 |