Organization
BRAIN INJURY ALLIANCE OF VERMONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LEAL (EXECUTIVE DIRECTOR)
(802) 244-6850
Entity
Organization
Contact information
Practice address
1 DERBY LN STE 2, WATERBURY, VT 05676-8926
(802) 244-3850
(802) 244-4005
Mailing address
1 DERBY LN STE 2, WATERBURY, VT 05676-8926
(802) 244-6850
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
01/10/2024
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