Idlewild Associates, LLC

NPI #1164800884 in Poultney, Vermont

Provider Information

NPI Number: 1164800884
Entity Type: Organization
Organization Name: Idlewild Associates, LLC
Primary Specialty: Counselor
Enumeration Date: May 14, 2015
Last Updated: May 14, 2015

Practice Location

Address: 153 MAIN ST
City: Poultney
State: Vermont
ZIP Code: 05764-4413
Phone: (802) 287-0841

Authorized Official

Name: MS. LISA ANN CITARELLA, MS
Title: CO-OWNER
Phone: (802) 287-0841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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