Organization · Type 2 NPI
Northeast Kingdom Trauma Intensives
Mental Health Clinic/Center (Including Community Mental Health Center) · St. Johnsbury, VT
NPI number
1629792114
Active
Practice location
293 Pearl St Ste 101
St. Johnsbury, VT 05819-5641
Mailing address
751 Chesterfield Holw
Lyndonville, VT 05851-8530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Other mental health clinic/center (including community mental health center) providers in St. Johnsbury
About NPI 1629792114
Northeast Kingdom Trauma Intensives's National Provider Identifier is 1629792114, issued on Sep 28, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in St. Johnsbury, VT. The record was last updated on Sep 28, 2022.