Organization
CLARA MARTIN CENTER
Active
Organization
CLARA MARTIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CHAMBERS LADC (EXECUTIVE DIRECTOR)
(802) 728-4466
Entity
Organization
Contact information
Practice address
11 S MAIN ST, RANDOLPH, VT 05060-1330
(802) 728-4466
(802) 728-4197
Mailing address
11 S MAIN ST, RANDOLPH, VT 05060-1330
(802) 728-4466
(802) 728-4197
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6060012
—
VT
Enumeration date
02/02/2007
Last updated
08/22/2020
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