NPI | 1861694986 |
---|---|
Entity Type | Organization |
Authorized Contact | RENEE MADORE Office Manager 802-257-0361 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2020-08-22 |