# HEALTH CARE & REHABILITATION SERVICES

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

## Provider details

- **NPI number:** 1841417292
- **Authorized official:** EDMUND H MOORE (CFO)
- **Authorized official phone:** (802) 886-4567

## Contact information

- **Practice address:** 1 HOSPITAL CT, SUITE 410, BELLOWS FALLS, VT 05101-1489
- **Practice address phone:** (802) 463-3294
- **Practice address fax:** (802) 463-1206
- **Mailing address:** 390 RIVER ST, SPRINGFIELD, VT 05156-2226
- **Mailing address phone:** (802) 886-4567
- **Mailing address fax:** (802) 886-4560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 04/03/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1009762 | — | VT |