Provider Demographics
NPI:1811383276
Name:LIFE SERVICES FOR RECOVERY, LLC
Entity Type:Organization
Organization Name:LIFE SERVICES FOR RECOVERY, LLC
Other - Org Name:GH RECOVERY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:561-515-8947
Mailing Address - Street 1:491 AMHERST ST UNIT 105
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1259
Mailing Address - Country:US
Mailing Address - Phone:603-965-2760
Mailing Address - Fax:
Practice Address - Street 1:491 AMHERST ST UNIT 105
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1259
Practice Address - Country:US
Practice Address - Phone:603-965-2760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-13
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Single Specialty