Whalio Doctors

NPI 1235548918

Northeast Kingdom Human Services INC

Organisation Community/Behavioral Health Agency Derby, VT

Practice location

Address
181 Crawford Road, Derby, VT 05829-9999
Phone
(802) 334-6744
Fax
(802) 334-7340
Mailing address
PO Box 724, Newport, VT 05855-0724

Authorised official

Name
Douglas W Bouchard
Title
Executive Director
Phone
(802) 334-6744

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X

Registry record

NPI
1235548918
Entity type
Organization
NPI issued
7 Aug 2014
Record last updated
7 Aug 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.