| NPI | 1992481568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA SCHUPP-STAR Owner/Physician Assistant 802-230-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-10-04 |