ADDICTION RECOVERY SERVICES PLLC NPI 1477607042

NPI Information

NPI: 1477607042
Provider Name: ADDICTION RECOVERY SERVICES PLLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 30D2069886

Address:
1145 SAGAMORE AVE
PORTSMOUTH, NH
ZIP 03801
Phone: (603) 433-6250
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ADDICTION RECOVERY SERVICES PLLC is a rehabilitation and substance use disorder clinic center in Portsmouth, NH. ADDICTION RECOVERY SERVICES PLLC NPI is 1477607042. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1145 SAGAMORE AVE
PORTSMOUTH, NH
ZIP 03801-503
Phone: (603) 433-6250
Fax: (603) 433-6350

The provider's authorized official is Susan Dale Ferguson .
The authorized official title is Business Manager and has the following contact phone number (603) 433-6250.

The CLIA number assigned to this NPI record is 30D2069886 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 2/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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