NPI | 1790862829 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES JOHANNS ERICKSON Presisdent 802-644-8708 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: VT 0214) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |