Healthcare Provider Details

I. General information

NPI: 1932286325
Provider Name (Legal Business Name): PARENT CHILD CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 MONROE ST
MIDDLEBURY VT
05753-1345
US

IV. Provider business mailing address

PO BOX 646 126 MONROE STREET
MIDDLEBURY VT
05753-0646
US

V. Phone/Fax

Practice location:
  • Phone: 802-388-3171
  • Fax: 802-388-1590
Mailing address:
  • Phone: 802-388-3171
  • Fax: 802-388-1590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SUSAN M. HARDING
Title or Position: CO-DIRECTOR
Credential:
Phone: 802-388-3171