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Organization

EMERGE FAMILY ADVOCATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RAYMONA RUSSELL (EXECUTIVE DIRECTOR)
(802) 296-7663
Entity
Organization

Contact information

Practice address
95 LESLIE DRIVE, WHITE RIVER JUNCTION, VT 05001-1224
(802) 296-7663
(802) 296-7521
Mailing address
PO BOX 1224, WHITE RIVER JUNCTION, VT 05001-1224
(802) 296-7663
(802) 296-7521

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251K00000X
Public Health or Welfare Agency
Primary
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
04/25/2012
Last updated
04/25/2012
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