| Center For Trauma Recovery Llc | |
|
523 Smugglers View Rd Jeffersonville VT 05464-9450 | |
| (802) 324-3792 | |
| Not Available |
| Full Name | Center For Trauma Recovery Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 523 Smugglers View Rd, Jeffersonville, Vermont |
| Authorized Official Name and Position | Charles J. Corbally (CO OWNER) |
| Authorized Official Contact | 8022813330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Trauma Recovery Llc 523 Smugglers View Rd Jeffersonville VT 05464-9450 Ph: (802) 324-3792 | Center For Trauma Recovery Llc 523 Smugglers View Rd Jeffersonville VT 05464-9450 Ph: (802) 324-3792 |
| NPI Number | 1841969094 |
|---|---|
| Provider Enumeration Date | 09/10/2021 |
| Last Update Date | 09/10/2021 |
| Certification Date | 09/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841969094 | NPI | - | NPPES |
| 1028428 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |