# DYNAMIC ENGAGEMENT INSTITUTE, L3C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sapphire Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174888408
- **Authorized official:** MICHELE AARON FOUTS MA (OWNER/DIRECTOR)
- **Authorized official phone:** (802) 388-3887

## Contact information

- **Practice address:** 87 RIVERS BEND RD, NEW HAVEN, VT 05472-1101
- **Practice address phone:** (802) 388-3887
- **Mailing address:** 87 RIVERS BEND RD, NEW HAVEN, VT 05472-1101
- **Mailing address phone:** (802) 388-3887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | 0470084103 | VT | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 0470084103 | VT | Yes |

## Other

- **Enumeration date:** 07/12/2012
- **Last updated:** 07/12/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1020502 | — | VT |
