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Maple Leaf Farm Associates, Inc.

Organization Active NPI Substance Abuse Rehabilitation Facility · Underhill, VT

NPI 1316904360 · NPPES record last updated Nov 7, 2016

Key facts

NPI
1316904360
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
Legal business name
MAPLE LEAF FARM ASSOCIATES, INC.
Practice address
10 Maple Leaf Farm Rd
Maple Leaf Treatment Center
Underhill, VT 05489
Phone
(802) 899-2911
Fax
(802) 899-2327
NPI assigned
Apr 26, 2006
Organization subpart
No

Authorized official

Name
Catherine Iacuzzi, PSYD, LADC, CCS
Title
Ceo & Executive Director
Phone
(802) 899-2911

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

10 Maple Leaf Farm Rd
Underhill, VT 05489
Phone (802) 899-2911

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207QA0401X
Substance Abuse Rehabilitation Facility 324500000X VT Yes

Addresses

Primary practice location

10 Maple Leaf Farm Rd
Maple Leaf Treatment Center
Underhill, VT 05489

Mailing address

786 College Parkway
Maple Leaf Treatment Center
Colchester, VT 05446
Phone (802) 899-2911

Other names

  • Maple Leaf Treatment Center Doing business as

Other providers in Underhill, VT

All providers in Underhill, VT · Substance Abuse Rehabilitation Facility in Vermont

Sources for this page

Verify at the official NPI Registry.