MEDICARE: RECOVER TOGETHER, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207QA0505X	Adult Medicine Physician
2	207R00000X	Internal Medicine Physician
3	261QM0850X	Adult Mental Health Clinic/Center
4	363A00000X	Physician Assistant
5	363L00000X	Nurse Practitioner
6	363LF0000X	Family Nurse Practitioner
7	207Q00000X	Family Medicine Physician
8	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871297010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVER TOGETHER, INC.

Provider Business Mailing Address
First Line	:	111 S BEDFORD ST STE 205
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-5145
Country	:	US
Telephone Number	:	512-439-3547
Fax Number	:

Provider Business Practice Location Address
First Line	:	1681 E FLAMINGO RD STE 3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5274
Country	:	US
Telephone Number	:	800-683-8313
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	COLLEEN NICEWICZ
Credential	:
Telephone Number	:	413-281-3035

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	05/22/2023

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Directions to “RECOVER TOGETHER, INC. ” Practice Location

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