Organization
CAPITAL RECOVERY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JUSTIN ETLING (CEO)
(781) 389-5579
Entity
Organization
Contact information
Practice address
130 PEMBROKE RD STE 100, CONCORD, NH 03301-5793
(781) 389-5579
Mailing address
130 PEMBROKE RD STE 100, CONCORD, NH 03301-5793
(781) 389-5579
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
04/05/2023
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