OrganizationActive
Brain Injury Alliance of Vermont
NPI 1508543174 · Case Management Agency · Waterbury, VT
Provider details
- NPI number
- 1508543174
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jessica Leal, Executive Director(802) 244-6850
Specialties & taxonomies
Agencies
Practice location
1 Derby Ln Ste 2
Waterbury, VT 05676-8926
Phone: (802) 244-3850
Fax: (802) 244-4005
Approximate (ZIP-level) locationGet directions
Mailing address
1 Derby Ln Ste 2
Waterbury, VT 05676-8926
Registry dates
- Enumerated
- 2023-07-05
- Last updated
- 2024-01-10
- Certified
- 2024-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.