Provider Demographics
NPI:1457713802
Name:R. L. COGSWELL & ASSOCIATES
Entity Type:Organization
Organization Name:R. L. COGSWELL & ASSOCIATES
Other - Org Name:RICHARD L. COGSWELL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:COGSWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MLADC
Authorized Official - Phone:603-986-3127
Mailing Address - Street 1:PO BOX 487
Mailing Address - Street 2:68 RT 16B AT WHITE HORSE ADDICTION CENTER
Mailing Address - City:CENTER OSSIPEE
Mailing Address - State:NH
Mailing Address - Zip Code:03814-0487
Mailing Address - Country:US
Mailing Address - Phone:603-986-3127
Mailing Address - Fax:603-651-1442
Practice Address - Street 1:68 ROUTE 16B
Practice Address - Street 2:AT WHITE HORSE ADDICTION CENTER
Practice Address - City:CENTER OSSIPEE
Practice Address - State:NH
Practice Address - Zip Code:03814-6850
Practice Address - Country:US
Practice Address - Phone:603-986-3127
Practice Address - Fax:603-651-1442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0996261QM0850X, 261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health