| 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 |