| NPI | 1720365125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDEGARDE OJIBWAY Executive Director 802-295-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: VT 0420005381) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |