Organization
FRONT LINE FOUNDATIONS OF NORTH AMERICA, INC
Active
Organization
FRONT LINE FOUNDATIONS OF NORTH AMERICA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN A. BANKS (EXECUTIVE DIRECTOR)
(802) 732-2516
Entity
Organization
Contact information
Practice address
1 HOSPITAL CT STE 11, BELLOWS FALLS, VT 05101-1489
(802) 732-2518
Mailing address
PO BOX 855, BELLOWS FALLS, VT 05101-0855
(802) 732-2518
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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