Provider Demographics
NPI:1790363935
Name:BELKNAP PROJECT ASSOCIATES LLC
Entity Type:Organization
Organization Name:BELKNAP PROJECT ASSOCIATES LLC
Other - Org Name:KATHY IRELAND RECOVERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-972-8383
Mailing Address - Street 1:745 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03246-2715
Mailing Address - Country:US
Mailing Address - Phone:603-413-2750
Mailing Address - Fax:
Practice Address - Street 1:745 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-2715
Practice Address - Country:US
Practice Address - Phone:814-925-2330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder