Organization
RECOVERY HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE M FITZSIMMONS (BUSINESS MANAGER)
(802) 446-2640
Entity
Organization
Contact information
Practice address
98 CHURCH ST, WALLINGFORD, VT 05773-9650
(802) 446-2640
(802) 446-2636
Mailing address
PO BOX 207, WALLINGFORD, VT 05773-0207
(802) 446-2640
(802) 446-2636
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000303
—
VT
Enumeration date
05/18/2006
Last updated
11/23/2015
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