Provider First Line Business Practice Location Address:
350 FISHER ROAD
Provider Second Line Business Practice Location Address:
VERMONT PSYCHIATRIC CARE HOSPITAL
Provider Business Practice Location Address City Name:
BERLIN
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-828-3092
Provider Business Practice Location Address Fax Number:
802-828-2588
Provider Enumeration Date:
12/13/2006