OrganizationActive
Kincasa Recovery Centers LLC
NPI 1932093523 · Substance Abuse Rehabilitation Facility · Northborough, MA
Provider details
- NPI number
- 1932093523
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dennis Theriault, Ceo(603) 440-8618
Specialties & taxonomies
Residential Treatment Facilities
Practice location
144 W Main St
Northborough, MA 01532-1802
Phone: (603) 440-8618
Approximate (ZIP-level) locationGet directions
Mailing address
118 Turnpike Rd Ste 200
Southborough, MA 01772-2156
Additional practice locations (1)
- 118 Turnpike Rd Ste 200Southborough, MA 01772-2156Phone: (603) 440-8618
Registry dates
- Enumerated
- 2025-06-06
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.