Organization
THE COMMONWEALTH OF MASSACHUSETTS
Active
Organization
THE COMMONWEALTH OF MASSACHUSETTS
Active
Other names
Worcester Recovery Center & Hospital group practice
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY WENZEL (CHIEF EXECUTIVE OFFICER)
(508) 368-3727
Entity
Organization
Contact information
Practice address
309 BELMONT ST, WORCESTER, MA 01604-1695
(508) 368-4000
(508) 368-1502
Mailing address
309 BELMONT ST, WORCESTER, MA 01604-1695
(508) 368-4000
(508) 368-1502
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
01/03/2007
Last updated
04/21/2023
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