Organization · Type 2 NPI
Kingdom Therapeutics at Safe Haven Farm, Incorporated
Mental Health Clinic/Center (Including Community Mental Health Center) · Derby, VT
NPI number
1609462605
Active
Practice location
4095 Gore Rd
Derby, VT 05829-9408
Mailing address
2735 Dane Hill Rd
West Charleston, VT 05872-9581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1609462605
Kingdom Therapeutics at Safe Haven Farm, Incorporated's National Provider Identifier is 1609462605, issued on Dec 15, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Derby, VT. The record was last updated on Dec 15, 2020.