Organization Name: | WELLSPRING MULTIDISCIPLINARY HEALTH AND EDUCATION PROJECT INC |
NPI Number: | 1851501530 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGARET A. MCGUIRE (PRESIDENT) |
Mailing Address: | 39 Church St. Hardwick |
State: | VT US |
Postal Code: | 058430147 |
Phone Number: | 8024726694 |
Fax Number: | 8024726694 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 04/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0700X |
License Number: | VT 509 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Adult Development & Aging |
Taxonomy Definition: |