OrganizationActive
Lake Avenue Recovery, LLC
NPI 1831739739 · Substance Use Disorder Rehabilitation Clinic/Center · Worcester, MA
Provider details
- NPI number
- 1831739739
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- John Maroney, Executive Director
Mailing address
38 Brentwood Drive
Holden, MA 01520-1932
Registry dates
- Enumerated
- 2020-01-09
- Last updated
- 2024-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.