| Clara Martin Center | |
|
11 S Main St Randolph VT 05060-1330 | |
| (802) 728-4466 | |
| (802) 728-4197 |
| Full Name | Clara Martin Center |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 11 S Main St, Randolph, Vermont |
| Authorized Official Name and Position | Linda Chambers (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8027284466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clara Martin Center 11 S Main St Randolph VT 05060-1330 Ph: (802) 728-4466 | Clara Martin Center 11 S Main St Randolph VT 05060-1330 Ph: (802) 728-4466 |
| NPI Number | 1902944846 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902944846 | NPI | - | NPPES |
| 1006646 | Medicaid | VT | |
| 6030006 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
Clara Martin Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Main Street, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Jessica K. Wright, Lcmhc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 28 Pleasant St, Randolph, VT 05060 Phone: 802-505-8596 | |
Clara Martin Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Marjorie R Crowe Msw Corp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Belle Fred Dr, Randolph, VT 05060 Phone: 802-728-3018 |