Organization
HUNDRED ACRE HOMESTEAD
Active
Organization
HUNDRED ACRE HOMESTEAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH BETTS (DIRECTOR/ FOUNDER)
(802) 223-9122
Entity
Organization
Contact information
Practice address
171 GOULD HILL RD, WORCESTER, VT 05682-9795
(802) 223-9122
Mailing address
171 GOULD HILL RD, WORCESTER, VT 05682-9795
(802) 223-9122
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
547
VT
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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