| Washington County Youth Service Bureau Boys & Girls Club | |
|
38 Elm St Montpelier VT 05602-2995 | |
| (802) 229-9151 | |
| (802) 229-2508 |
| Full Name | Washington County Youth Service Bureau Boys & Girls Club |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 38 Elm St, Montpelier, Vermont |
| Authorized Official Name and Position | Tom Howard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8022299151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington County Youth Service Bureau Boys & Girls Club 38 Elm St Montpelier VT 05602-2995 Ph: (802) 229-9151 | Washington County Youth Service Bureau Boys & Girls Club 38 Elm St Montpelier VT 05602-2995 Ph: (802) 229-9151 |
| NPI Number | 1508936238 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508936238 | NPI | - | NPPES |
| 1004380 | Medicaid | VT | |
| 1010292 | Medicaid | VT | |
| 1010291 | Medicaid | VT |
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