IndividualActive
Alexandra Gordon, ON CALL RECOVERY COA
NPI 1063930337 · Substance Abuse Rehabilitation Facility · Brockton, MA
Provider details
- NPI number
- 1063930337
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Credential
- ON CALL RECOVERY COA
- Sex
- Female
- Sole proprietor
- Yes
Practice location
10 Meadowbrook Rd
Brockton, MA 02301-7122
Phone: (774) 330-8944
Fax: (508) 408-6192
Mailing address
10 Meadowbrook Rd
Brockton, MA 02301-7122
Registry dates
- Enumerated
- 2017-09-06
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.