Northeast Kingdom Human Services INC Mh Waiver
Clinic/Center, Mental Health (Including Community Mental Health Center) in Newport, VT. Organization (NPI-2).
NPI number1124152004
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124152004
- Entity type
- Organization (NPI-2)
- Legal business name
- Northeast Kingdom Human Services INC Mh Waiver
- Organization subpart
- No
- Enumeration date
- Mar 15, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
154 Duchess StNewport, VT 05855
Phone 802-334-6744 · Fax 802-334-7340
Mailing address
Po Box 724Newport, VT 05855-0724
Phone 802-334-6744 · Fax 802-334-7340
Authorized official
Eric Grims
Chief Executive Officer
8023346744
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