| NPI | 1831536200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOIE A MARSHALL Therapist 802-888-9101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VT 068.0056444) |
| Enumeration Date | 2013-05-26 |
| Last Update Date | 2013-05-26 |