Provider Demographics
NPI:1649142621
Name:THE FAMILY PLACE
Entity type:Organization
Organization Name:THE FAMILY PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SLAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-649-3268
Mailing Address - Street 1:319 US ROUTE 5 S
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:VT
Mailing Address - Zip Code:05055-9431
Mailing Address - Country:US
Mailing Address - Phone:802-649-3268
Mailing Address - Fax:
Practice Address - Street 1:319 US ROUTE 5 S
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:VT
Practice Address - Zip Code:05055-9431
Practice Address - Country:US
Practice Address - Phone:802-649-3268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health