Hundred Acre Homestead

NPI #1033488036 in Worcester, Vermont

Provider Information

NPI Number: 1033488036
Entity Type: Organization
Organization Name: Hundred Acre Homestead
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Dec 20, 2011
Last Updated: Dec 20, 2011

Practice Location

Address: 171 GOULD HILL RD
City: Worcester
State: Vermont
ZIP Code: 05682-9795
Phone: (802) 223-9122

Authorized Official

Name: MS. DEBORAH BETTS
Title: DIRECTOR/ FOUNDER
Phone: (802) 223-9122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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