| NPI | 1639476658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HARTMAN CEO 802-888-5026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VT 068.0000724) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2023-04-04 |