Healthcare Provider Details

I. General information

NPI: 1023651676
Provider Name (Legal Business Name): RIVER TO RECOVERY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2019
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 PLEASANT ST
FALL RIVER MA
02723-1914
US

IV. Provider business mailing address

901 EASTERN AVE
FALL RIVER MA
02723-2848
US

V. Phone/Fax

Practice location:
  • Phone: 774-704-5501
  • Fax:
Mailing address:
  • Phone: 774-704-5501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: LAURA JEAN WASHINGTON
Title or Position: CEO
Credential: MS, LADC 1
Phone: 774-704-5501