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Organization

KIWI RECOVERY, LLC

Active
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Organization

KIWI RECOVERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABRAHAM FRIED (CEO)
(848) 223-3427
Entity
Organization

Contact information

Practice address
86 BAKER AVENUE EXT STE 230, CONCORD, MA 01742-2132
(848) 223-3427
Mailing address
86 BAKER AVENUE EXT STE 230, CONCORD, MA 01742-2132

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—

Other

Enumeration date
12/13/2022
Last updated
12/13/2022
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