NPI | 1649994567 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA SALOMAA Administrative Assistant 802-685-4458 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2022-10-04 |
Last Update Date | 2022-10-04 |