| NPI | 1992150759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE ANNE COOMBS President 802-282-1786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0048415) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |