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Organization

NFI VERMONT, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES R MYERS PH. D. (EXECUTIVE DIRECTOR)
(802) 658-0040
Entity
Organization

Contact information

Practice address
30 AIRPORT RD, SOUTH BURLINGTON, VT 05403-6432
(802) 658-0040
(802) 658-0216
Mailing address
30 AIRPORT RD, SOUTH BURLINGTON, VT 05403-6432
(802) 658-0040
(802) 658-0216

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261Q00000X
Clinic/Center
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0855X
Adolescent and Children Mental Health Clinic/Center
320800000X
Mental Illness Community Based Residential Treatment Facility
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
323P00000X
Psychiatric Residential Treatment Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00068960
BC-BS PROVIDER ID#
VT
01
00068969
BC-BS PROVIDER ID#
VT
05
1004136
VT
05
1004944
VT
05
1007658
VT
05
1011116
VT
05
6030011
VT
01
960839
MVP PROVIDER ID#
VT
Enumeration date
03/06/2007
Last updated
04/13/2026
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