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Organization

NORTHSTAR RECOVERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN WINDWARD (PRINCIPAL)
(508) 688-2754
Entity
Organization

Contact information

Practice address
132 TURNPIKE RD STE 200, SOUTHBOROUGH, MA 01772-2129
(508) 688-2754
Mailing address
132 TURNPIKE RD STE 200, SOUTHBOROUGH, MA 01772-2129

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2040
STATE LICENSE
MA
Enumeration date
09/07/2021
Last updated
06/03/2024
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