Provider Demographics
NPI:1851952055
Name:RECOVERY HOUSE, INC.
Entity Type:Organization
Organization Name:RECOVERY HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FITZSIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-775-3476
Mailing Address - Street 1:35 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-5029
Mailing Address - Country:US
Mailing Address - Phone:802-775-3476
Mailing Address - Fax:
Practice Address - Street 1:35 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-5029
Practice Address - Country:US
Practice Address - Phone:802-775-3476
Practice Address - Fax:802-775-2984
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RECOVERY HOUSE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility