National Provider Identifier Database

ALEXANDRA M GORDON, ON CALL RECOVERY COA – NPI #1063930337
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

ALEXANDRA M GORDON, ON CALL RECOVERY COA
10 MEADOWBROOK RD
BROCKTON, MA02301-7122
Phone: 774-330-8944
Fax: 508-408-6192
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for ALEXANDRA M GORDON

NPI Number 1063930337
Credentials ON CALL RECOVERY COA
Entity Individual
Enumeration date 09/06/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • MA Medicaid: 1518996354
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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