| NPI | 1720401250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD B. MILLER Psychologist/Manager 802-654-7075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VT 056) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |