MEDICARE: RECOVERY CENTERS OF AMERICA OUTPATIENT SERVICES MA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1326997909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERY CENTERS OF AMERICA OUTPATIENT SERVICES MA LLC

Provider Business Mailing Address
First Line	:	7 N WATERLOO RD
Second Line	:	PO BOX 155
City	:	DEVON
State	:	PA
Zip	:	19333-9998
Country	:	US
Telephone Number	:	484-396-2138
Fax Number	:	484-393-4096

Provider Business Practice Location Address
First Line	:	70 ELM ST
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01609-2300
Country	:	US
Telephone Number	:	610-994-2946
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF PAYOR RELATIONS
Name	:	MR. RAY MOLINA
Credential	:
Telephone Number	:	954-716-2790

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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