Provider Demographics
NPI:1821612961
Name:WE RECOVER LLC
Entity Type:Organization
Organization Name:WE RECOVER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:RICCO
Authorized Official - Suffix:
Authorized Official - Credentials:LADCI
Authorized Official - Phone:774-392-6874
Mailing Address - Street 1:PO BOX 937
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02741-0937
Mailing Address - Country:US
Mailing Address - Phone:774-392-6874
Mailing Address - Fax:
Practice Address - Street 1:50 RIVET ST.
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02744
Practice Address - Country:US
Practice Address - Phone:774-392-6874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health