| NPI | 1841863933 |
|---|---|
| Doing Business As | GREEN STATE PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | CAROL B GAGNON Administrative Assistant 802-448-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2023-01-18 |