Organization
RUTLAND MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MORALES (BILLING MANAGER)
(802) 770-5417
Entity
Organization
Contact information
Practice address
78 S MAIN ST, RUTLAND, VT 05701-4530
(802) 775-8224
(802) 747-7699
Mailing address
78 S MAIN ST, RUTLAND, VT 05701-4530
(802) 775-8224
(802) 747-7699
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006377
—
VT
05
—
6060014
—
VT
Enumeration date
03/13/2007
Last updated
09/07/2023
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