NPI | 1730497504 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELYN ELLEN BODE President 802-747-3488 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 047.0000269) |
Enumeration Date | 2010-09-15 |
Last Update Date | 2010-09-15 |