| NPI | 1841350899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABA MAHEEN SALAM Manager 802-246-0781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 42-0010331) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-10-08 |