NPI | 1841417292 |
---|---|
Entity Type | Organization |
Authorized Contact | EDMUND H MOORE CFO 802-886-4567 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2007-04-19 |
Last Update Date | 2019-04-03 |