Provider Demographics
NPI:1871893081
Name:INSTITUTE FOR HEALTH AND RECOVERY INC
Entity type:Organization
Organization Name:INSTITUTE FOR HEALTH AND RECOVERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-661-3991
Mailing Address - Street 1:75 N BEACON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-2671
Mailing Address - Country:US
Mailing Address - Phone:617-661-3991
Mailing Address - Fax:617-661-7277
Practice Address - Street 1:75 N BEACON ST STE 2
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-2671
Practice Address - Country:US
Practice Address - Phone:617-661-3991
Practice Address - Fax:617-661-7277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-22
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0845251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110087398BMedicaid
MAS100235673Medicare PIN