Healthcare Provider Details
I. General information
NPI: 1831003599
Provider Name (Legal Business Name): SOLID GROUND RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
316 LINCOLN ST
WORCESTER MA
01605-3634
US
IV. Provider business mailing address
316 LINCOLN ST
WORCESTER MA
01605-3634
US
V. Phone/Fax
- Phone: 617-543-1165
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
CAROL
ELKURDI
Title or Position: CEO
Credential:
Phone: 617-543-1165