Healthcare Provider Details

I. General information

NPI: 1114846151
Provider Name (Legal Business Name): BDR RECOVERY HOLDINGS HAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 AUSTON RD STE A
HARWICH MA
02645-1385
US

IV. Provider business mailing address

PO BOX 67013
CHESTNUT HILL MA
02467-0001
US

V. Phone/Fax

Practice location:
  • Phone: 617-293-1000
  • Fax:
Mailing address:
  • Phone: 617-293-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT D CARTER
Title or Position: CEO
Credential:
Phone: 617-293-1000