Organization
STATE OF VERMONT - DEPARTMENT FOR CHILDREN & FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA DRAPP (CHIEF MEDICAID ACCOUNTANT)
(802) 241-2344
Entity
Organization
Contact information
Practice address
103 S MAIN ST, OSGOOD I, WATERBURY, VT 05671-9800
(802) 241-2252
(802) 241-1106
Mailing address
103 S MAIN ST, OSGOOD I, WATERBURY, VT 05671-9800
(802) 241-2252
(802) 241-1106
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004209
—
VT
05
—
1004694
—
VT
05
—
1004853
—
VT
05
—
1005103
—
VT
05
—
1005104
—
VT
05
—
1007032
—
VT
05
—
1007204
—
VT
05
—
1008353
—
VT
Enumeration date
10/12/2006
Last updated
07/21/2022
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