Organization
MAPLE LEAF FARM ASSOCIATES, INC.
Active
Other names
Maple Leaf Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE IACUZZI PSYD, LADC, CCS (CEO & EXECUTIVE DIRECTOR)
(802) 899-2911
Entity
Organization
Contact information
Practice address
10 MAPLE LEAF FARM RD, MAPLE LEAF TREATMENT CENTER, UNDERHILL, VT 05489
(802) 899-2911
(802) 899-2327
Mailing address
786 COLLEGE PARKWAY, MAPLE LEAF TREATMENT CENTER, COLCHESTER, VT 05446
(802) 899-2911
(802) 899-2327
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
VT
Other
Enumeration date
04/26/2006
Last updated
11/07/2016
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