Provider Demographics
NPI:1851526040
Name:COLLEGE HILL PSYCHIATRIC SERVICES
Entity Type:Organization
Organization Name:COLLEGE HILL PSYCHIATRIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARLOW
Authorized Official - Middle Name:G
Authorized Official - Last Name:BALLARD
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:802-223-2228
Mailing Address - Street 1:250 MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-4257
Mailing Address - Country:US
Mailing Address - Phone:802-223-2228
Mailing Address - Fax:802-778-0278
Practice Address - Street 1:250 MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-4257
Practice Address - Country:US
Practice Address - Phone:802-223-2228
Practice Address - Fax:802-778-0278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-18
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT42-0009627261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health