ACCESS RECOVERY LLC NPI 1689491128

NPI Information

  • NPI: 1689491128
  • Provider Name: ACCESS RECOVERY LLC
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Organization
  • Address: 4675 MAIN ST
    BRIDGEPORT, CT
    ZIP 06606
  • Phone: (203) 372-3333

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NPI Details

ACCESS RECOVERY LLC is a methadone clinic center in Bridgeport, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. ACCESS RECOVERY LLC NPI is 1689491128. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4675 MAIN ST
BRIDGEPORT, CT
ZIP 06606-813
Phone: (203) 372-3333
Fax: (203) 374-7515

The provider's authorized official is Ebenezer Adekunle Kolade .
The authorized official title is Member and has the following contact phone number (203) 803-7428.

The enumeration date for this NPI number is 9/25/2024 and was last updated on 9/25/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction MedicineNo
2207RA0401XInternal MedicineAddiction MedicineNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM2800XClinic/CenterMethadoneYes
5261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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