| Northeast Kingdom Human Services Inc | |
|
181 Crawford Road Derby VT 05829-9999 | |
| (802) 334-6744 | |
| (802) 334-7340 |
| Full Name | Northeast Kingdom Human Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 181 Crawford Road, Derby, Vermont |
| Authorized Official Name and Position | Douglas W Bouchard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8023346744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Kingdom Human Services Inc Po Box 724 Newport VT 05855-0724 Ph: (802) 334-6744 | Northeast Kingdom Human Services Inc 181 Crawford Road Derby VT 05829-9999 Ph: (802) 334-6744 |
| NPI Number | 1235548918 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 08/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235548918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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