| River To Recovery, Inc. | |
|
1507 Pleasant St Fall River MA 02723-1914 | |
| (774) 704-5501 | |
| Not Available |
| Full Name | River To Recovery, Inc. |
|---|---|
| Speciality | Peer Specialist |
| Location | 1507 Pleasant St, Fall River, Massachusetts |
| Authorized Official Name and Position | Kevin Doyle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7747045501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River To Recovery, Inc. Po Box 4111 Fall River MA 02723-0400 Ph: (774) 704-5501 | River To Recovery, Inc. 1507 Pleasant St Fall River MA 02723-1914 Ph: (774) 704-5501 |
| NPI Number | 1023651676 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 01/14/2020 |
| Certification Date | 01/14/2020 |
| Medicare PECOS PAC ID | 4789085507 |
|---|---|
| Medicare Enrollment ID | O20210630000877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023651676 | NPI | - | NPPES |
| Provider Name | Heidi D Martins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972593267 PECOS PAC ID: 3476567215 Enrollment ID: I20060131000668 |
| Provider Name | Danielle Thibert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912285982 PECOS PAC ID: 8921356668 Enrollment ID: I20210629003519 |
| Provider Name | Natalie Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851647465 PECOS PAC ID: 0648605360 Enrollment ID: I20221129000609 |
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