| NPI | 1831988633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN RW KINNART Owner 802-448-2347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-06-12 |