Healthcare Provider Details

I. General information

NPI: 1215484191
Provider Name (Legal Business Name): RECOVERY CONNECTION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2016
Last Update Date: 10/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

381 WICKENDEN ST
PROVIDENCE RI
02903-4425
US

IV. Provider business mailing address

PO BOX 120081
BOSTON MA
02112-0081
US

V. Phone/Fax

Practice location:
  • Phone: 401-439-7785
  • Fax:
Mailing address:
  • Phone: 617-838-8650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT S ALMEIDA
Title or Position: PRESIDENT
Credential: D.C.
Phone: 617-838-8650