Organization
ECR OP CO LLC
Active
Other names
East Coast Recovery LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MEGAN BERUBE LICSW (EXECUTIVE CLINICAL DIRECTOR)
(781) 400-8018
Entity
Organization
Contact information
Practice address
215 CHIEF JUSTICE CUSHING HWY, COHASSET, MA 02025-1206
(617) 784-1842
Mailing address
215 CHIEF JUSTICE CUSHING HWY, COHASSET, MA 02025-1206
(617) 784-1842
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
09/25/2024
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