| NPI | 1710337522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE M FUREY Director 802-498-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 0890114301) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |