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Organization
VISION RECOVERY AND REHABILITATION LLC
Active
Organization
VISION RECOVERY AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE GITAU (HR)
(774) 312-1810
Entity
Organization
Contact information
Practice address
45 MARSH AVE, WORCESTER, MA 01605-2214
(774) 312-1810
Mailing address
45 MARSH AVE, WORCESTER, MA 01605-2214
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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