| NPI | 1811443955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA STECKLER Manager 802-775-6331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0090928) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |