Organization
IGNITE RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA GOODE (OWNER)
(508) 717-2827
Entity
Organization
Contact information
Practice address
323 FRENCH ST, FALL RIVER, MA 02720-5441
(508) 717-2827
Mailing address
672 BEDFORD ST, FALL RIVER, MA 02720-4828
(508) 296-0523
(508) 290-0062
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/19/2021
Last updated
01/25/2024
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