| NPI | 1649779679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI PEPOON Owner 802-733-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0115546) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151.0124428) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |