| NPI | 1922026996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI HALL CFO 802-229-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-06 |