Provider Demographics
NPI:1679449052
Name:BDR RECOVERY HOLDINGS 11 LINCOLN LLC
Entity type:Organization
Organization Name:BDR RECOVERY HOLDINGS 11 LINCOLN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-699-9000
Mailing Address - Street 1:PO BOX 67013
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-0001
Mailing Address - Country:US
Mailing Address - Phone:603-699-9000
Mailing Address - Fax:
Practice Address - Street 1:11 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-3008
Practice Address - Country:US
Practice Address - Phone:603-699-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility