Healthcare Provider Details

I. General information

NPI: 1417670878
Provider Name (Legal Business Name): A BETTER STATE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2022
Last Update Date: 09/28/2022
Certification Date: 09/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 SAGAMORE PARK RD
HUDSON NH
03051-4915
US

IV. Provider business mailing address

41 SAGAMORE PARK RD
HUDSON NH
03051-4915
US

V. Phone/Fax

Practice location:
  • Phone: 781-635-7105
  • Fax:
Mailing address:
  • Phone: 781-635-7105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: DEBRA SUE ROOKLIN
Title or Position: CLINICAL DIRECTOR
Credential: LMHC
Phone: 617-888-3784