OrganizationActive
Kingdom Therapeutics at Safe Haven Farm, Incorporated
NPI 1609462605 · Mental Health Clinic/Center (Including Community Mental Health Center) · Derby, VT
Provider details
- NPI number
- 1609462605
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristen Watson, Clinical Mental Health Counselor(802) 673-6476
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4095 Gore Rd
Derby, VT 05829-9408
Phone: (802) 673-6476
Approximate (ZIP-level) locationGet directions
Mailing address
2735 Dane Hill Rd
West Charleston, VT 05872-9581
Registry dates
- Enumerated
- 2020-12-15
- Last updated
- 2020-12-15
- Certified
- 2020-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.