Organization
ORANGE COUNTY PARENT CHILD CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYELLEN OTIS M.S. (EXECUTIVE DIRECTOR)
(802) 685-2264
Entity
Organization
Contact information
Practice address
361 VT RTE 110, CHELSEA, VT 05038-8994
(802) 685-2264
(802) 685-2278
Mailing address
361 VT RTE 110, CHELSEA, VT 05038-8994
(802) 685-2264
(802) 685-2278
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010980
—
VT
Enumeration date
02/28/2007
Last updated
08/22/2020
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