75 LINDALL STREET OPCO LLC NPI 1790150548

NPI Information

75 LINDALL STREET OPCO LLC is a substance abuse rehabilitation facility in Danvers, 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. 75 LINDALL STREET OPCO LLC NPI is 1790150548. The provider is registered as an organization entity type.
The provider Is Doing Business As Recovery Centers Of America At Danvers.

The provider's business location address is:

RECOVERY CENTERS OF AMERICA AT DANVERS
75 LINDALL ST
DANVERS, MA
ZIP 01923-121
Phone: (978) 777-1956

The provider's authorized official is Kevin Mcclure .
The authorized official title is Cfo and has the following contact phone number (610) 994-2900.

The CLIA number assigned to this NPI record is 22D2119863 - other - inpatient d&a facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2015 and was last updated on 3/4/2024.

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:

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