| NPI | 1861749913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARE BOKUM Revenue Integrity Supervisor 802-258-4302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: VT 761) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2018-04-13 |