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Organization
UNITED COUNSELING SERVICE OF BENNINGTON COUNTY, INC
Active
Organization
UNITED COUNSELING SERVICE OF BENNINGTON COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH J PROVENZA (EXECUTIVE DIRECTOR)
(802) 442-5491
Entity
Organization
Contact information
Practice address
100 LEDGEHILL RD, BENNINGTON, VT 05201-2273
(802) 442-5491
Mailing address
PO BOX 588, BENNINGTON, VT 05201-0588
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W296
—
VT
Enumeration date
07/11/2008
Last updated
10/09/2008
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