Active NPIOrganization

Access Recovery LLC

Clinic/Center, Methadone Clinic in Bridgeport, Connecticut

NPI Number1689491128
Practice location
4675 Main St, Bridgeport, CT 06606-1813
Fax
203-374-7515
Last updated
September 25, 2024

Access Recovery LLC is a healthcare organization based in Bridgeport, CT. Access Recovery LLC practices in Bridgeport, CT. The NPI Number for Access Recovery LLC is 1689491128. The current practice location address for Access Recovery LLC is 4675 Main St, Bridgeport, CT 06606-1813 and can be reached out via phone at 203-372-3333 and via fax at 203-374-7515.

Provider Profile Details

NPI Number
1689491128
Provider Name
Access Recovery LLC
Provider Entity Type
Organization
Address
4675 Main St, Bridgeport, CT 06606-1813
Phone Number
203-372-3333
Fax Number
203-374-7515
Primary Taxonomy
Clinic/Center, Methadone Clinic · 261QM2800X
Organization Subpart
No
Authorized Official
Dr. Ebenezer Adekunle Kolade, MD · Member · 203-803-7428
Provider Enumeration Date
September 25, 2024
Last Update Date
September 25, 2024
Certification Date
September 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
4675 Main St
Bridgeport, CT 06606-1813
Zip
06606-1813
Phone Number
203-372-3333
Fax Number
203-374-7515
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
4675 Main St
Bridgeport, CT 06606-1813
City
Bridgeport
State
CT
Zip
06606-1813
Phone Number
203-372-3333
Fax Number
203-374-7515

License Information

Taxonomy (1)
Family Medicine, Addiction Medicine · 207QA0401X
Taxonomy (2)
Internal Medicine, Addiction Medicine · 207RA0401X
Taxonomy (3)
Clinic/Center, Adult Mental Health · 261QM0850X
Taxonomy (4)
Clinic/Center, Methadone Clinic · 261QM2800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Access Recovery LLC?

The NPI number of Access Recovery LLC is 1689491128. It was assigned on September 25, 2024 and is currently active in the NPPES registry.

What is the specialty of Access Recovery LLC?

Access Recovery LLC is registered under the primary taxonomy Clinic/Center, Methadone Clinic (code 261QM2800X).

Where does Access Recovery LLC practice?

The practice location is 4675 Main St, Bridgeport, CT 06606-1813. The office can be reached at 203-372-3333 (phone) or 203-374-7515 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689491128 directly on the NPPES registry website.

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