| NPI | 1760501936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY P LABONTE Executive Director 802-447-1557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 101Y00000X Counselor |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2009-10-27 |