| 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 |