| NPI | 1679914477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA PERRINO Sole Prop 802-236-7552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NH 858) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |