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Dynamic Engagement Institute, L3c
Adolescent and Children Mental Health Clinic/Center in New Haven, Vermont
NPI 1174888408

Dynamic Engagement Institute, L3c is an Adolescent and Children Mental Health Clinic/Center based in New Haven, VT and is specialized in Adolescent and Children Mental Health. Dynamic Engagement Institute, L3c practices in New Haven, VT. The NPI Number for Dynamic Engagement Institute, L3c is 1174888408 and holds a License No. 0470084103 (Vermont).

The current practice location address for Dynamic Engagement Institute, L3c is 87 Rivers Bend Rd, New Haven, VT and can be reached out via phone at 802-388-3887.

Location: 87 Rivers Bend Rd, New Haven, VT, 05472-1101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174888408
Provider Name
Dynamic Engagement Institute, L3c
Credential
Provider Entity Type
Organization
Address
87 Rivers Bend Rd, New Haven, VT, 05472-1101
Phone Number
802-388-3887
Fax Number
Provider Enumeration Date
07/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1020502 05 VT
institution
Provider Business Practice Location Address Details
Address
87 Rivers Bend Rd
City
New Haven
State
Vermont
Zip
05472-1101
Phone Number
802-388-3887
Fax Number
person
Provider Business Mailing Address Details
Address
87 Rivers Bend Rd
City
New Haven
State
Vermont
Zip
05472-1101
Phone Number
802-388-3887
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
0470084103 (Vermont)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
0470084103 (Vermont)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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