GRACE STREET RECOVERY SERVICES-VERMONT – NPI #1043744568
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

GRACE STREET RECOVERY SERVICES-VERMONT is a substance abuse rehabilitation facility located in BURLINGTON, VT. NPPES has assigned the NPI number 1043744568 to GRACE STREET RECOVERY SERVICES-VERMONT on April 12, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 8 years ago on Jun 16, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRACE STREET RECOVERY SERVICES-VERMONT below.

NPI Profile for
GRACE STREET RECOVERY SERVICES-VERMONT

NPI Number
1043744568
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRACE STREET RECOVERY SERVICES-VERMONT
Primary location
184 KING ST
BURLINGTON, VT 05401-4534
Phone: (802) 503-5450 Fax:
Mailing address
274 SPINNAKER LN
SHELBURNE, VT 05482-7783
Phone: (802) 503-5450 Fax:
Organization Subpart
No
Authorized Official
MARGARET TERRIEN
NURSE PRACTITIONER
Phone: (802) 503-5450
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
101YA0400X
- Counselor / Addiction (Substance Use Disorder)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.