NPI | 1780913020 |
---|---|
Entity Type | Organization |
Authorized Contact | MADHURII BAREFOOT Founder, Clinical Director 802-583-1144 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VT n/a) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VT n/a) |
323P00000X Psychiatric Residential Treatment Facility (Licence: VT n/a) | |
Enumeration Date | 2009-12-16 |
Last Update Date | 2018-06-14 |