Provider Demographics
NPI:1174855795
Name:RECOVERY CONNECTION
Entity Type:Organization
Organization Name:RECOVERY CONNECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARKETING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:KARL
Authorized Official - Suffix:
Authorized Official - Credentials:LCADC
Authorized Official - Phone:973-204-0275
Mailing Address - Street 1:318 ELM ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-3104
Mailing Address - Country:US
Mailing Address - Phone:973-204-0275
Mailing Address - Fax:
Practice Address - Street 1:318 ELM ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-3104
Practice Address - Country:US
Practice Address - Phone:973-204-0275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-07
Last Update Date:2010-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty