NPI 1124152004

Northeast Kingdom Human Services INC Mh Waiver

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Newport, VT

Practice location

Address: 154 Duchess St, Newport, VT 05855
Phone: (802) 334-6744
Fax: (802) 334-7340
Mailing address: PO Box 724, Newport, VT 05855-0724

Authorised official

Name: Eric Grims
Title: Chief Executive Officer
Phone: (802) 334-6744

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Vermont →

Registry record

NPI: 1124152004
Entity type: Organization
NPI issued: 15 Mar 2007
Record last updated: 22 Aug 2020

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.