Organization
SUNSET HOUSE - BIRDSEYE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E LOGAN M.D. (MEDICAL DIRECTOR)
(802) 775-7798
Entity
Organization
Contact information
Practice address
511 SAND HILL ROAD, CASTLETON, VT 05735
(802) 775-7798
Mailing address
511 SAND HILL ROAD, CASTLETON, VT 05735
(802) 775-7798
(802) 775-7762
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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