Organization
LAKE AVENUE RECOVERY, LLC
Active
Organization
LAKE AVENUE RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MARONEY MS, LADC1 (EXECUTIVE DIRECTOR)
(508) 826-6182
Entity
Organization
Contact information
Practice address
425 LAKE AVE N, WORCESTER, MA 01605-2047
(508) 794-4400
Mailing address
38 BRENTWOOD DRIVE, HOLDEN, MA 01520-1932
(508) 826-6182
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
02/12/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up