Provider Demographics
NPI:1760501936
Name:BENNINGTON SCHOOL INC
Entity Type:Organization
Organization Name:BENNINGTON SCHOOL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:P
Authorized Official - Last Name:LABONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-447-1557
Mailing Address - Street 1:192 FAIRVIEW ST
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201-9239
Mailing Address - Country:US
Mailing Address - Phone:802-447-1557
Mailing Address - Fax:802-447-3234
Practice Address - Street 1:192 FAIRVIEW ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-9239
Practice Address - Country:US
Practice Address - Phone:802-447-1557
Practice Address - Fax:802-447-3234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed ChildrenGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Multi-Specialty