| NPI | 1730633512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY E RICHARDS President 802-770-8263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0055057) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |