Organization
KINCASA RECOVERY CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS THERIAULT (CHIEF OPERATING OFFICER)
(603) 440-8618
Entity
Organization
Contact information
Practice address
16 ALSTEAD PATH, MILLBURY, MA 01527-3402
(323) 546-2272
Mailing address
16 ALSTEAD PATH, MILLBURY, MA 01527-3402
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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