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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