Provider Demographics
NPI:1831899368
Name:RESTORATION RECOVERY CENTER
Entity type:Organization
Organization Name:RESTORATION RECOVERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-430-0412
Mailing Address - Street 1:40 FAIRMOUNT ST
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-7612
Mailing Address - Country:US
Mailing Address - Phone:978-430-0412
Mailing Address - Fax:978-964-0263
Practice Address - Street 1:40 FAIRMOUNT ST
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-7612
Practice Address - Country:US
Practice Address - Phone:978-430-0412
Practice Address - Fax:978-964-0263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center