Organization · NPI-2

Kiwi Recovery, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Concord, MA

NPI number1588375281
StatusActive
Last updated in NPPESDec 13, 2022

Details

NPI
1588375281
Entity type
Organization (NPI-2)
Legal business name
Kiwi Recovery, LLC
Organization subpart
No
Enumeration date
Dec 13, 2022
Certification date
Dec 13, 2022
Last updated
Dec 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QM0855X Clinic/Center, Adolescent and Children Mental Health––
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children––

Practice location

86 Baker Avenue Ext Ste 230
Concord, MA 01742-2132

Phone 848-223-3427

Mailing address

86 Baker Avenue Ext Ste 230
Concord, MA 01742-2132

Authorized official

Abraham Fried
Ceo
8482233427

Is something wrong?

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