Provider Demographics
NPI:1295189926
Name:NEW ENGLAND HEALTH AND RECOVERY LLC
Entity Type:Organization
Organization Name:NEW ENGLAND HEALTH AND RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:ANDERS
Authorized Official - Last Name:FRICK
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:203-672-5956
Mailing Address - Street 1:310 MAIN ST
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06512-2919
Mailing Address - Country:US
Mailing Address - Phone:203-672-5956
Mailing Address - Fax:203-404-7126
Practice Address - Street 1:310 MAIN ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06512-2919
Practice Address - Country:US
Practice Address - Phone:203-672-5956
Practice Address - Fax:203-404-7126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty