Lund Residential And Community Treatment Programs | |
76 Glen Rd Burlington VT 05401-4131 | |
(802) 864-7467 | |
(802) 864-1619 |
Full Name | Lund Residential And Community Treatment Programs |
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Speciality | Community/behavioral Health |
Location | 76 Glen Rd, Burlington, Vermont |
Authorized Official Name and Position | Robert Robinson (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 8028647467 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lund Residential And Community Treatment Programs Po Box 4009 Burlington VT 05406-4009 Ph: (802) 864-7467 | Lund Residential And Community Treatment Programs 76 Glen Rd Burlington VT 05401-4131 Ph: (802) 864-7467 |
NPI Number | 1770794323 |
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Provider Enumeration Date | 05/25/2007 |
Last Update Date | 12/05/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770794323 | NPI | - | NPPES |
1012820 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Vermont) | Primary |
322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (Vermont) | Secondary |
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