Organization
UNITED COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH J PROVENZA (EXECUTIVE DIRECTOR)
(802) 442-5491
Entity
Organization
Contact information
Practice address
100 LEDGEHILL RD, BENNINGTON, VT 05201-2273
(802) 442-5491
Mailing address
PO BOX 588, BENNINGTON, VT 05201-0588
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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