Organization
KINCASA RECOVERY CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS THERIAULT (CEO)
(603) 440-8618
Entity
Organization
Contact information
Practice address
144 W MAIN ST, NORTHBOROUGH, MA 01532-1802
(603) 440-8618
Mailing address
118 TURNPIKE RD STE 200, SOUTHBOROUGH, MA 01772-2156
(603) 440-8618
(323) 546-2022
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
11/04/2025
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