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ALEXANDRA MARIE GORDON ON CALL RECOVERY COA
NPI 1063930337
Substance Abuse Rehabilitation Facility in Brockton, MA

Active since September 06, 2017
10 MEADOWBROOK RD, BROCKTON, MA 02301(774) 330-8944(508) 408-6192 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexandra Marie Gordon On Call Recovery Coa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA MARIE GORDON ON CALL RECOVERY COA (NPI 1063930337) is an individual substance abuse rehabilitation facility provider in Brockton, Massachusetts and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1063930337
Entity TypeIndividualFemale
Primary Taxonomy324500000X
Provider Legal NameALEXANDRA MARIE GORDONCredential: ON CALL RECOVERY COA
Location Address10 MEADOWBROOK RDBrockton, MA 02301-7122
Mailing Address10 Meadowbrook RdBrockton, MA 02301-7122 · (774) 330-8944 · Fax (508) 408-6192
Phone(774) 330-8944
Fax(508) 408-6192
Sole ProprietorYes
Enumeration DateSeptember 6, 2017
Last NPPES UpdateJuly 21, 2022
✔ NPI 1063930337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
10 MEADOWBROOK RD, Brockton, MA 02301
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Other Identifiers 1

Medicaid1518996354MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGE BAILEY
Counselor (Addiction (Substance Use Disorder))
10 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (857) 269-8338
PAULA MARIE TURCOTTE
Counselor (Addiction (Substance Use Disorder))
10 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (774) 213-8448
JASPER P LAFRENIERE BA
Social Worker
10 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (508) 580-0801
MATTHEW LIVINGSTON
Counselor
10 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (774) 213-8337
MARIE D DESVALLONS-ANDRE
Counselor (Addiction (Substance Use Disorder))
10 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (774) 213-8448
VICTORIA JOSEPH
Counselor (Mental Health)
10 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (617) 417-0668
BONITA CARRASQUILLO
Counselor (Addiction (Substance Use Disorder))
10 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (774) 213-8448
MR. TIMOTHY WILLIAM CORLISS MSW
Social Worker
10 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (508) 894-4945

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Gordon's NPI number?

The NPI number for Alexandra Gordon is 1063930337. It was assigned to this individual provider in the NPPES registry on September 6, 2017.

Where is Alexandra Gordon located?

Alexandra Gordon practices at 10 Meadowbrook Rd, Brockton, MA 02301. The listed phone number is (774) 330-8944.

What is Alexandra Gordon's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Alexandra Gordon was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.