Organization · Type 2 NPI
Evergreen Recovery LLC
Substance Abuse Rehabilitation Facility · Portland, ME
NPI number
1053208710
Active
Practice location
14 Randall St
Portland, ME 04103
Mailing address
22 Redlon Rd
Portland, ME 04102-2218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: 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.
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About NPI 1053208710
Evergreen Recovery LLC's National Provider Identifier is 1053208710, issued on Jun 23, 2025. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Portland, ME. The record was last updated on Jun 23, 2025.