NPI 1093116071

Phoenix House - Tapestry

Organisation Mental Illness Community Based Residential Treatment Facility Brattleboro, VT

Practice location

Address: 178 Linden St, Brattleboro, VT 05301-2855
Phone: (802) 257-2415
Fax: (802) 257-4617
Mailing address: 99 Wayland Ave 100, Providence, RI 02906-4314

Authorised official

Name: Richard Turner
Title: Vice President/Vermont
Phone: (802) 345-3593

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 0680000733 (VT)

Other Community Based Residential Treatment Facility, Mental Illness providers in Vermont →

Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X Licence 000506 (VT)

Registry record

NPI: 1093116071
Entity type: Organization
NPI issued: 10 Sep 2014
Record last updated: 10 Sep 2014

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.