Organization · Type 2 NPI

Recovery House, Inc.

Addiction Medicine (Psychiatry & Neurology) Physician · Wallingford, VT

NPI number 1922051242 Active

Practice location

98 Church St
Wallingford, VT 05773-9650

Fax (802) 446-2636

Mailing address

PO Box 207
Wallingford, VT 05773-0207

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone listed
Substance Abuse Rehabilitation Facility 324500000XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

About NPI 1922051242

Recovery House, Inc.'s National Provider Identifier is 1922051242, issued on May 18, 2006. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Wallingford, VT. The record was last updated on Nov 23, 2015.