State of Vermont

NPI #1518394212 in Middlesex, Vermont

Provider Information

NPI Number: 1518394212
Entity Type: Organization
Organization Name: State of Vermont
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Sep 26, 2013
Last Updated: Sep 26, 2013

Practice Location

Address: 1076 US RTE 2
City: Middlesex
State: Vermont
ZIP Code: 05633-7801
Phone: (802) 828-5800

Authorized Official

Name: FRANCIS REED
Title: DEPUTY COMMISSIONER OF MENTAL HLTH
Phone: (802) 828-3824

Specialties & Taxonomy Codes

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

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