NPI 1053679266

Clara Martin Center

Organisation Community/Behavioral Health Agency Randolph, VT

Practice location

Address: 11 Main Street, Randolph, VT 05060
Phone: (802) 728-4466
Fax: (802) 728-4197
Mailing address: PO Box G, Randolph, VT 05060-0167

Authorised official

Name: Tom Breslin
Title: Controller
Phone: (802) 728-4466

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Vermont →

Registry record

NPI: 1053679266
Entity type: Organization
NPI issued: 25 Apr 2012
Record last updated: 3 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.