Individual provider · Type 1 NPI
Alexandra Marie Gordon, ON CALL RECOVERY COA
Substance Abuse Rehabilitation Facility · Brockton, MA
NPI number
1063930337
Active
Practice location
10 Meadowbrook Rd
Brockton, MA 02301-7122
Fax (508) 408-6192
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: 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.
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About NPI 1063930337
Alexandra Marie Gordon, ON CALL RECOVERY COA's National Provider Identifier is 1063930337, issued on Sep 6, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Brockton, MA. The record was last updated on Jul 21, 2022.