| NPI | 1932303823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE BEARDSLEY Director 802-454-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: VT 0527) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |