| NPI | 1902944846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CHAMBERS Executive Director 802-728-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |