ALEXANDRA MARIE GORDON ON CALL RECOVERY COA NPI 1063930337

NPI Information

Alexandra Marie Gordon, ON CALL RECOVERY COA is a substance abuse rehabilitation facility in Brockton, MA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. Alexandra Marie Gordon, ON CALL RECOVERY COA NPI is 1063930337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10 MEADOWBROOK RD
BROCKTON, MA
ZIP 02301-122
Phone: (774) 330-8944
Fax: (508) 408-6192

The enumeration date for this NPI number is 9/6/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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