Healthcare Provider Details

I. General information

NPI: 1326754888
Provider Name (Legal Business Name): RECOVERY CONNECTION CENTERS OF AMERICA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2023
Last Update Date: 01/27/2023
Certification Date: 01/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 N MAIN ST STE 215
ATTLEBORO MA
02703-2247
US

IV. Provider business mailing address

381 WICKENDEN ST
PROVIDENCE RI
02903-4487
US

V. Phone/Fax

Practice location:
  • Phone: 877-557-3155
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL BRIER
Title or Position: CEO
Credential:
Phone: 877-557-3155