| NPI | 1922763952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN FERRIS President And CEO 802-876-2301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-11-04 |