LAKE AVENUE RECOVERY, LLC is a rehabilitation and substance use disorder clinic center in Worcester, MA. LAKE AVENUE RECOVERY, LLC NPI is 1831739739. The provider is registered as an organization entity type.
The provider's business location address is:
425 LAKE AVE N
WORCESTER, MA
ZIP 01605-047
Phone: (508) 794-4400
The provider's authorized official is John Maroney .
The authorized official title is Executive Director and has the following contact phone number (508) 826-6182.
The CLIA number assigned to this NPI record is 22D2185467 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/9/2020 and was last updated on 2/12/2024.