| NPI | 1851526040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARLOW G. BALLARD President 802-223-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VT 42-0009627) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2010-09-15 |