Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXANDRA MARIE GORDON, ON CALL RECOVERY COA
Active Sole ProprietorALEXANDRA MARIE GORDON, ON CALL RECOVERY COA is a Substance Abuse Rehabilitation Facility healthcare provider located in BROCKTON, Massachusetts. NPI 1063930337 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · BROCKTON, MA
Registration Details
- NPI Number
- 1063930337
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 6, 2017 (8.9683610710659 yrs)
- Last Updated
- Jul 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 MEADOWBROOK RDBROCKTON, MA, 023017122Browse MA providers · Browse ZIP 02301
- Phone
- 7743308944
- Fax
- 5084086192
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in BROCKTON, MA
| Name | Credential | NPI |
|---|---|---|
| BRITTAINY SMITH | — | 1427576792 |
| MR. WILLIAM PERRY PETITPAS | — | 1598387862 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.