OrganizationActive
Revolution Youth Inc
NPI 1619638905 · Community/Behavioral Health Agency · Burlington, VT
Provider details
- NPI number
- 1619638905
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Savannah Lord, Director of Clinical Services(207) 812-6070
Specialties & taxonomies
Agencies
- Case Management Agency251B00000X
Agencies
Ambulatory Health Care Facilities
Practice location
95 College St
Burlington, VT 05401-8426
Phone: (207) 812-6070
Approximate (ZIP-level) locationGet directions
Mailing address
95 College St
Burlington, VT 05401-8426
Registry dates
- Enumerated
- 2022-01-07
- Last updated
- 2024-11-18
- Certified
- 2024-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.