| NPI | 1871344622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BLESS Owner And Provider 802-316-8552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |