| NPI | 1780770511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN T CIAMPA CFO 802-388-4752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: VT 675) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2013-07-24 |