NPI | 1942014824 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH BOSTON Owner 802-681-8548 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-02-03 |
Last Update Date | 2025-02-17 |