| NPI | 1639832678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE MORRIS Clinical Social Worker 802-498-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-10-18 |