Organization
NORTHEAST SUBSTANCE ABUSE PROFESSIONALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN J BURROWS MA, LCDP, SAP (CORPORATE OFFICER)
(401) 209-0902
Entity
Organization
Contact information
Practice address
411 SHANNOCK RD, WAKEFIELD, RI 02879-4750
(401) 209-0902
Mailing address
411 SHANNOCK RD, WAKEFIELD, RI 02879-4750
(401) 209-0902
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/06/2021
Last updated
02/18/2021
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