| NPI | 1649236225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK FLOOD CEO 802-748-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QH0100X Clinic/Center, Health Services | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2014-04-17 |