Organization
BRATTLEBORO RETREAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARE BOKUM (REVENUE INTEGRITY SUPERVISOR)
(802) 258-4302
Entity
Organization
Contact information
Practice address
1 ANNA MARSH LANE, BRATTLEBORO, VT 05301-0101
(802) 257-7785
(802) 258-3798
Mailing address
PO BOX 101, BRATTLEBORO, VT 05302-0101
(802) 257-7785
(802) 258-3798
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
761
VT
Other
Enumeration date
08/08/2012
Last updated
04/13/2018
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