| NPI | 1861797219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE L. RITVO Owner 802-229-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042-0011952) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2011-01-17 |