Organization
MANCHESTER MENTAL HEALTH PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MICHALKOVIC LICSW (OWNER)
(802) 558-9606
Entity
Organization
Contact information
Practice address
274 GREEN MOUNTAIN RD, MANCHESTER CENTER, VT 05255-9560
(802) 558-9433
Mailing address
PO BOX 2636, MANCHESTER CENTER, VT 05255-2636
(802) 558-9433
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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