| Lund Residential And Community Treatment Programs | |
|
76 Glen Rd Burlington VT 05401-4131 | |
| (802) 864-7467 | |
| (802) 864-1619 |
| Full Name | Lund Residential And Community Treatment Programs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 76 Glen Rd, Burlington, Vermont |
| Authorized Official Name and Position | Robert Robinson (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8028647467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lund Residential And Community Treatment Programs Po Box 4009 Burlington VT 05406-4009 Ph: (802) 864-7467 | Lund Residential And Community Treatment Programs 76 Glen Rd Burlington VT 05401-4131 Ph: (802) 864-7467 |
| NPI Number | 1770794323 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 12/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770794323 | NPI | - | NPPES |
| 1012820 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Vermont) | Primary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (Vermont) | Secondary |
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