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NPI Code Detail

MEDICARE: PATHFINDER RECOVERY PLLC

MEDICARE: PATHFINDER RECOVERY PLLC
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
2324500000XSubstance Abuse Rehabilitation Facility
3208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1376309302
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATHFINDER RECOVERY PLLC
Provider Business Mailing Address
First Line : 29 EVERGREEN TER
Second Line :
City : SEYMOUR
State : CT
Zip : 06483-3051
Country : US
Telephone Number : 203-599-3908
Fax Number : 203-210-8641
Provider Business Practice Location Address
First Line : 500 EAST MAIN STREET
Second Line :
City : BRANFORD
State : CT
Zip : 06405-2911
Country : US
Telephone Number : 203-599-3908
Fax Number : 203-210-8641
Authorized Official
Title or Position : OWNER
Name : DAVID J HENDRICKS
Credential : MD
Telephone Number : 203-813-4892
Provider Enumeration Date : 02/27/2024
Last Update Date : 02/17/2026

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Directions to “PATHFINDER RECOVERY PLLC ” Practice Location

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