| NPI | 1710756267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ANN VASSEUR Owner 802-279-8039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2024-01-03 |