| Second Growth, Inc | |
|
205 Billings Farm Rd Bldg 1 White River Junction VT 05001-5400 | |
| (802) 295-9800 | |
| (802) 295-9889 |
| Full Name | Second Growth, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 205 Billings Farm Rd Bldg 1, White River Junction, Vermont |
| Authorized Official Name and Position | Heidi Anne Postupack (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8022959800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Growth, Inc Po Box 206 Hanover NH 03755-0206 Ph: (802) 295-9800 | Second Growth, Inc 205 Billings Farm Rd Bldg 1 White River Junction VT 05001-5400 Ph: (802) 295-9800 |
| NPI Number | 1700268125 |
|---|---|
| Provider Enumeration Date | 06/22/2015 |
| Last Update Date | 03/19/2021 |
| Certification Date | 03/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700268125 | NPI | - | NPPES |
| 000676 | Other | VT | STATE OF VERMONT LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 000676 (Vermont) | Primary |
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