Organization · Type 2 NPI

Vermont Department of Mental Health

Mental Illness Community Based Residential Treatment Facility · Colchester, VT

NPI number 1497468292 Active

Practice location

26 Woodside Dr E
Colchester, VT 05446-3128

Call (802) 241-0090 Map

Mailing address

280 State Dr Nob 2 North
Waterbury, VT 05671-2010

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.

NPI record

NPI: 1497468292
Entity type: Organization (Type 2)
Issued: Dec 27, 2022
Last updated: Dec 27, 2022
Status: Active
Subpart: Yes of Vermont Department of Mental Health

Other names

River Valley Therapeutic Residence · doing business as

Authorized official

Shannon Thompson
Financial Director IV
(802) 241-0118

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1497468292

Vermont Department of Mental Health's National Provider Identifier is 1497468292, issued on Dec 27, 2022. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Colchester, VT. The record was last updated on Dec 27, 2022.