Provider Demographics
NPI:1811656184
Name:RECOVERY NETWORK OF PROGRAMS, INC
Entity type:Organization
Organization Name:RECOVERY NETWORK OF PROGRAMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ELOVICH
Authorized Official - Last Name:KOLAKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-929-1954
Mailing Address - Street 1:2 TRAP FALLS RD
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-4616
Mailing Address - Country:US
Mailing Address - Phone:203-929-1954
Mailing Address - Fax:
Practice Address - Street 1:1438 PARK AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604-2512
Practice Address - Country:US
Practice Address - Phone:203-366-5817
Practice Address - Fax:203-394-6790
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RECOVERY NETWORK OF PROGRAMS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)