Organization
BRATTLEBORO RETREAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MONETTE (CHIEF FINANCIAL OFFICER)
(802) 258-4312
Entity
Organization
Contact information
Practice address
ANNA MARSH LANE, BRATTLEBORO, VT 05301
(802) 257-7785
(802) 258-3798
Mailing address
PO BOX 101, BRATTLEBORO, VT 05302-0101
(802) 257-7785
(802) 258-3798
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
283Q00000X
Psychiatric Hospital
649
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006874
—
VT
Enumeration date
06/20/2007
Last updated
03/24/2017
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