| NPI | 1932726098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRILLE S PARADISE Wcmhs Out PT Admin COO Rdinator 802-479-4083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-14 |