| NPI | 1770886715 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DEIRDRE H DONALDSON President 802-258-6590 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VT 042-0009619) | 
| Enumeration Date | 2010-12-14 | 
| Last Update Date | 2010-12-14 |