Organization
SECOND GROWTH, INC
Active
Organization
SECOND GROWTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI ANNE POSTUPACK (EXECUTIVE DIRECTOR)
(802) 295-9800
Entity
Organization
Contact information
Practice address
205 BILLINGS FARM RD BLDG 1, WHITE RIVER JUNCTION, VT 05001-5400
(802) 295-9800
(802) 295-9889
Mailing address
PO BOX 206, HANOVER, NH 03755-0206
(802) 295-9800
(802) 295-9889
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
000676
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000676
STATE OF VERMONT LICENSE NUMBER
VT
Enumeration date
06/22/2015
Last updated
03/19/2021
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