Organization
ASSOCIATION OF AFRICANS LIVING IN VERMONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YACOUBA JACOB BOGRE (EXECUTIVE DIRECTOR)
(802) 985-3106
Entity
Organization
Contact information
Practice address
20 ALLEN ST FL 3, BURLINGTON, VT 05401-4344
(802) 985-3106
Mailing address
20 ALLEN ST FL 3, BURLINGTON, VT 05401-4344
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
VT
Enumeration date
07/18/2018
Last updated
07/18/2018
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