# DEPARTMENT OF VETERANS AFFAIRS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760777189
- **Authorized official:** DANIEL MORIARTY (SOCIAL WORK EXECUTIVE)
- **Authorized official phone:** (802) 295-9363

## Contact information

- **Practice address:** 215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
- **Practice address phone:** (802) 295-9363
- **Mailing address:** 215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
- **Mailing address phone:** (802) 295-9363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QV0200X | VA Clinic/Center | 1598 | NH | Yes |

## Other

- **Enumeration date:** 06/14/2011
- **Last updated:** 06/14/2011
