| NPI | 1639381668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON FREDERICK LORD President 802-356-6496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-06-08 |