| NPI | 1902109838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA TASKA Clinical Social Worker 603-443-5137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0062831) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2025-10-07 |