NPI | 1720791809 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNA DANUTA GOULD Owner 802-683-7994 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-01-03 |
Last Update Date | 2024-02-26 |