Organization
COMMONWEALTH COMMUNITY RECOVERY DIVISION INC
Active
Other names
ccrd llc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL JONES (PRESIDENT)
(888) 680-4667
Entity
Organization
Contact information
Practice address
79 THOMPSON ST, SPRINGFIELD, MA 01109-3921
(888) 680-4667
(888) 726-8386
Mailing address
79 THOMPSON ST, SPRINGFIELD, MA 01109-3921
(888) 680-4667
(888) 726-8386
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
S49769293
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23
—
MA
Enumeration date
04/10/2017
Last updated
04/10/2017
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