47 Main Street Corporation
47 Main Street Corporation is a Mental Illness Community Based Residential Treatment Facility in Castleton, Vermont. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
706 Main StCastleton, VT 05735-0038
Phone: (800) 287-5325
Fax: (802) 468-5152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|
Record details
| NPI number | 1134465784 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Willem Leenman — Director · (802) 468-5325 |
| Other names | Fortyseven Main Street, Inc |
| NPI enumerated | December 28, 2012 |
| Last updated in NPPES | December 28, 2012 |
| Mailing address | Po Box 38, 706 Main Street, Castleton, VT 05735-0038 |