Provider Demographics
NPI:1508049305
Name:MEDICAL ASSISTED RECOVERY, INC.
Entity type:Organization
Organization Name:MEDICAL ASSISTED RECOVERY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYLVESTER
Authorized Official - Middle Name:C
Authorized Official - Last Name:SVIOKLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-615-8500
Mailing Address - Street 1:875 CENTERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4381
Mailing Address - Country:US
Mailing Address - Phone:401-615-8500
Mailing Address - Fax:401-615-8503
Practice Address - Street 1:875 CENTERVILLE RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4381
Practice Address - Country:US
Practice Address - Phone:508-675-2266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD 06091207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Single Specialty