Organization
GRACE STREET RECOVERY SERVICES-VERMONT
Active
Organization
GRACE STREET RECOVERY SERVICES-VERMONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET TERRIEN NP (NURSE PRACTITIONER)
(802) 503-5450
Entity
Organization
Contact information
Practice address
184 KING ST, BURLINGTON, VT 05401-4534
(802) 503-5450
Mailing address
274 SPINNAKER LN, SHELBURNE, VT 05482-7783
(802) 503-5450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
06/16/2018
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