Northeast Kingdom Human Services INC Sbs

NPI #1902930878 in Newport, Vermont

Provider Information

NPI Number: 1902930878
Entity Type: Organization
Organization Name: Northeast Kingdom Human Services INC Sbs
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Mar 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 154 DUCHESS ST
City: Newport
State: Vermont
ZIP Code: 05855
Phone: (802) 334-6744

Authorized Official

Name: MR. ERIC GRIMS
Title: CHIEF EXECUTIVE OFFICER
Phone: (802) 334-6744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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