NPI 1619638905
Revolution Youth INC
Practice location
- Address
- 95 College St, Burlington, VT 05401-8426
- Phone
- (207) 812-6070
Authorised official
- Name
- Savannah Lord
- Title
- Director of Clinical Services
- Phone
- (207) 812-6070
Registered specialties (3)
Community/Behavioral Health Agency
Primary
Case Management Agency
Mental Health Clinic/Center (Including Community Mental Health Center)
Registry record
- NPI
- 1619638905
- Entity type
- Organization
- NPI issued
- 7 Jan 2022
- Record last updated
- 18 Nov 2024
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.