| NPI | 1871044982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE R CROWE Owner 802-728-3018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0890000220) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |