NPI 1316904360
Maple Leaf Farm Associates, INC.
Practice location
- Address
- 10 Maple Leaf Farm Rd Maple Leaf Treatment Center, Underhill, VT 05489
- Phone
- (802) 899-2911
- Fax
- (802) 899-2327
- Mailing address
- 786 College Parkway Maple Leaf Treatment Center, Colchester, VT 05446
Authorised official
- Name
- Catherine Iacuzzi
- Title
- Ceo & Executive Director
- Phone
- (802) 899-2911
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Addiction Medicine (Family Medicine) Physician
Registry record
- NPI
- 1316904360
- Entity type
- Organization
- NPI issued
- 26 Apr 2006
- Record last updated
- 7 Nov 2016
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.