Organization · Type 2 NPI

Dynamic Engagement Institute, L3c

Adolescent and Children Mental Health Clinic/Center · New Haven, VT

NPI number 1174888408 Active

Practice location

87 Rivers Bend Rd
New Haven, VT 05472-1101

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center 261QD1600X0470084103 (VT)
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855X0470084103 (VT)

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Another provider at this address

About NPI 1174888408

Dynamic Engagement Institute, L3c's National Provider Identifier is 1174888408, issued on Jul 12, 2012. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in New Haven, VT. The record was last updated on Jul 12, 2012.