Provider Demographics
NPI:1619603818
Name:GROUPS RECOVER TOGETHER - OHIO LLC
Entity Type:Organization
Organization Name:GROUPS RECOVER TOGETHER - OHIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, MEDICAL & CLINICAL STAFF
Authorized Official - Prefix:
Authorized Official - First Name:CLARE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHILLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-439-3547
Mailing Address - Street 1:111 S BEDFORD ST STE 205
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-5145
Mailing Address - Country:US
Mailing Address - Phone:512-439-3547
Mailing Address - Fax:
Practice Address - Street 1:20 S PAINT ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-3202
Practice Address - Country:US
Practice Address - Phone:888-858-1723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-29
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health