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Alexandra Marie Gordon, ONCALLRECOVERYCOA
Substance Abuse Rehabilitation Facility in Brockton, Massachusetts
NPI 1063930337

Alexandra Marie Gordon is a Substance Abuse Rehabilitation Facility based in Brockton, MA. Alexandra Marie Gordon practices in Brockton, MA and has the professional credentials of ONCALLRECOVERYCOA. The NPI Number for Alexandra Marie Gordon is 1063930337 and holds a License No. (Massachusetts).

The current practice location address for Alexandra Marie Gordon is 10 Meadowbrook Rd, Brockton, MA and can be reached out via phone at 774-330-8944 and via fax at 508-408-6192.

Location: 10 Meadowbrook Rd, Brockton, MA, 02301-7122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063930337
Provider Name
Alexandra Marie Gordon
Credential
ONCALLRECOVERYCOA
Provider Entity Type
Individual
Gender
Female
Address
10 Meadowbrook Rd, Brockton, MA, 02301-7122
Phone Number
774-330-8944
Fax Number
508-408-6192
Provider Enumeration Date
09/06/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1518996354 05 MA
institution
Provider Business Practice Location Address Details
Address
10 Meadowbrook Rd
City
Brockton
State
Massachusetts
Zip
02301-7122
Phone Number
774-330-8944
Fax Number
508-408-6192
person
Provider Business Mailing Address Details
Address
10 Meadowbrook Rd
City
Brockton
State
Massachusetts
Zip
02301-7122
Phone Number
774-330-8944
Fax Number
508-408-6192
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(Massachusetts)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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