Provider Demographics
NPI:1104902048
Name:CAB HEALTH & RECOVERY SERVICES, INC.
Entity type:Organization
Organization Name:CAB HEALTH & RECOVERY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-968-1701
Mailing Address - Street 1:0 CENTENNIAL DR
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-7902
Mailing Address - Country:US
Mailing Address - Phone:978-968-1700
Mailing Address - Fax:978-531-8920
Practice Address - Street 1:0 CENTENNIAL DR
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-7902
Practice Address - Country:US
Practice Address - Phone:978-968-1700
Practice Address - Fax:978-531-8920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1306669Medicaid
MA1306669Medicaid