Organization
HEADWATERS CONSULTING GROUP, LLC
Active
Other names
Rebuilding Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE JOHN CRAIG (CO-FOUNDER)
(617) 704-2391
Entity
Organization
Contact information
Practice address
73 BELMONT ST, SOUTH EASTON, MA 02375-1103
(617) 691-0338
Mailing address
30 MAPLE ST, BRAINTREE, MA 02184-4613
(617) 704-2391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
03/11/2025
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