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 |