| NPI | 1952773871 |
|---|---|
| Other Name | MH HEALTH CARE SERVICES AT GW |
| Entity Type | Organization |
| Authorized Contact | NANCY CARLSON President 802-857-0400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |