Provider Demographics
NPI:1093005092
Name:HOWARDCENTER, INC
Entity Type:Organization
Organization Name:HOWARDCENTER, INC
Other - Org Name:TWIN OAKS COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, ADMIN & FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-488-6900
Mailing Address - Street 1:208 FLYNN AVE STE 3J
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-5420
Mailing Address - Country:US
Mailing Address - Phone:802-488-6900
Mailing Address - Fax:802-488-6901
Practice Address - Street 1:75 SAN REMO DR
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6385
Practice Address - Country:US
Practice Address - Phone:802-488-7350
Practice Address - Fax:802-488-6919
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOWARDCENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-11
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTVT6190Medicare PIN