Lake Avenue Recovery, Llc

LBN: Lake Avenue Recovery, Llc
Lake Avenue Recovery, Llc is an health care organization with primary practice located at 425 Lake Ave N , Worcester MA 01605-2047. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Lake Avenue Recovery, Llc can be contacted via phone (508) 794-4400, or through Maroney, John via phone (508) 826-6182.

Contact Information

Primary practice address
425 Lake Ave N Worcester MA 01605-2047
Phone: (508) 794-4400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maroney, John MS, LADC1
Phone: (508) 826-6182

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1831739739
LBN Legal business name Lake Avenue Recovery, Llc
DBA Doing business as
Authorized official Maroney, John MS, LADC1
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2020
Last updated Feb 12th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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