| Recovery House, Inc. | |
|
98 Church St Wallingford VT 05773-9650 | |
| (802) 446-2640 | |
| (802) 446-2636 |
| Full Name | Recovery House, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 98 Church St, Wallingford, Vermont |
| Authorized Official Name and Position | Suzanne M Fitzsimmons (BUSINESS MANAGER) |
| Authorized Official Contact | 8024462640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery House, Inc. Po Box 207 Wallingford VT 05773-0207 Ph: (802) 446-2640 | Recovery House, Inc. 98 Church St Wallingford VT 05773-9650 Ph: (802) 446-2640 |
| NPI Number | 1922051242 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 11/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922051242 | NPI | - | NPPES |
| 0000303 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
Maple Leaf Clinic Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 167 N Main St, Wallingford, VT 05773 Phone: 802-446-3577 Fax: 802-446-3801 |