Organization
SPRUCE MOUNTAIN INN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE BEARDSLEY LICSW (DIRECTOR)
(802) 454-8353
Entity
Organization
Contact information
Practice address
155 TOWNE AVE, PLAINFIELD, VT 05667-0153
(802) 454-8353
(802) 454-1008
Mailing address
PO BOX 153, 155 TOWNE AVE, PLAINFIELD, VT 05667-0153
(802) 454-8353
(802) 454-1008
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
0527
VT
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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