Organization · Type 2 NPI
47 Main Street Corporation
Mental Illness Community Based Residential Treatment Facility · Castleton, VT
NPI number
1134465784
Active
Practice location
706 Main Street
Castleton, VT 05735-0038
Fax (802) 468-5152
Mailing address
PO Box 38, 706 Main Street
Castleton, VT 05735-0038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1134465784
47 Main Street Corporation's National Provider Identifier is 1134465784, issued on Dec 28, 2012. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Castleton, VT. The record was last updated on Dec 28, 2012.