Milldale Farm Center for Wellness Plc

NPI #1508571043 in Fairlee, Vermont

Provider Information

NPI Number: 1508571043
Entity Type: Organization
Organization Name: Milldale Farm Center for Wellness Plc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 19, 2023
Last Updated: Jan 19, 2023

Practice Location

Address: 1461 BLOOD BROOK RD
City: Fairlee
State: Vermont
ZIP Code: 05045-9847
Phone: (802) 299-1467

Authorized Official

Name: WESLEY WOLTER
Title: OWNER
Phone: (802) 299-1467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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