Lake Avenue Recovery, LLC
NPI #1831739739 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1831739739
- Entity Type
- Organization
- Organization Name
- Lake Avenue Recovery, LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jan 9, 2020
- Last Updated
- Feb 12, 2024
Practice Location
- Address
- 425 LAKE AVE N
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01605-2047
- Phone
- (508) 794-4400
Authorized Official
- Name
- MR. JOHN MARONEY, MS, LADC1
- Title
- EXECUTIVE DIRECTOR
- Phone
- (508) 826-6182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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