| NPI | 1902930878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GRIMS Chief Executive Officer 802-334-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |