| NPI | 1740940584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK L BROWN Director Of Business Development 802-230-7713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |