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Organization
NORTHEAST KINGDOM HUMAN SERVICES INC VHAP
Active
Organization
NORTHEAST KINGDOM HUMAN SERVICES INC VHAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC GRIMS (CHIEF EXECUTIVE OFFICER)
(802) 334-6744
Entity
Organization
Contact information
Practice address
154 DUCHESS ST, NEWPORT, VT 05855
(802) 334-6744
(802) 334-7340
Mailing address
PO BOX 724, NEWPORT, VT 05855-0724
(802) 334-6744
(802) 334-7340
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007309
—
VT
Enumeration date
03/15/2007
Last updated
08/22/2020
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