NPI 1336348705

Spring Lake Ranch

Organisation Mental Illness Community Based Residential Treatment Facility Cuttingsville, VT

Practice location

Address: 1169 Spring Lake Rd, Cuttingsville, VT 05738-4418
Phone: (802) 492-3322
Fax: (802) 492-3331

Authorised official

Name: Andrew Richards-Peelle
Title: Business Manager
Phone: (802) 492-3322

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 0526 (VT)

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

Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 324500000X Licence 0526 (VT)

Other Substance Abuse Rehabilitation Facility providers in Vermont →

Registry record

NPI: 1336348705
Entity type: Organization
NPI issued: 16 Jul 2007
Record last updated: 16 Jul 2007

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.