| Recovery Center Llc | |
|
642 East Ave Warwick RI 02886-0515 | |
| (401) 431-9024 | |
| Not Available |
| Full Name | Recovery Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 642 East Ave, Warwick, Rhode Island |
| Authorized Official Name and Position | Nicholas Johnston (OWNER) |
| Authorized Official Contact | 4014319024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Center Llc 642 East Ave Warwick RI 02886-0515 Ph: (401) 431-9024 | Recovery Center Llc 642 East Ave Warwick RI 02886-0515 Ph: (401) 431-9024 |
| NPI Number | 1407456395 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 10/29/2020 |
| Certification Date | 10/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407456395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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