Organization · Type 2 NPI
Grace Street Recovery Services-Vermont
Substance Abuse Rehabilitation Facility · Burlington, VT
NPI number
1043744568
Active
Practice location
184 King St
Burlington, VT 05401-4534
Mailing address
274 Spinnaker Ln
Shelburne, VT 05482-7783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Another provider at this address
Other substance abuse rehabilitation facility providers in Burlington
About NPI 1043744568
Grace Street Recovery Services-Vermont's National Provider Identifier is 1043744568, issued on Apr 12, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Burlington, VT. The record was last updated on Jun 16, 2018.