Healthcare Provider Details

I. General information

NPI: 1346025467
Provider Name (Legal Business Name): RECOVERY MULTI SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 08/30/2023
Certification Date: 08/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 OSPREY WAY
DORCHESTER MA
02124-1667
US

IV. Provider business mailing address

18 OSPREY WAY
DORCHESTER MA
02124-1667
US

V. Phone/Fax

Practice location:
  • Phone: 617-910-0487
  • Fax:
Mailing address:
  • Phone: 617-910-0487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS ZOBEIDA MEDERO
Title or Position: DIRECTOR OF RECOVERY SERVICES
Credential: CPS,
Phone: 617-910-0487