NPI 1922309467

U.S. Department of Veteran Affairs

Organisation Community/Behavioral Health Agency White River Junction, VT

Practice location

Address: 222 Holiday Dr, White River Junction, VT 05001-2043
Phone: (802) 295-2908
Mailing address: 11337 SW Ironwood Loop, Tigard, OR 97223-4200

Authorised official

Name: Brenda Eastman
Title: Team Leader
Phone: (802) 295-2908

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence RC00049914 (WA)

Other Community/Behavioral Health providers in Vermont →

Registry record

NPI: 1922309467
Entity type: Organization
NPI issued: 15 Nov 2010
Record last updated: 15 Nov 2010

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.