| NPI | 1962598797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BERTRAND CFO 802-388-4752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: VT 675) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: VT 867) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2017-02-13 |