Organization · Type 2 NPI

Liberty Bay Recovery Center, LLC

Substance Use Disorder Rehabilitation Clinic/Center · Portland, ME

NPI number 1104212182 Active

Practice location

343 Forest Ave
Portland, ME 04101-2006

Fax (207) 536-1511

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405X684958 (ME)
Substance Abuse Rehabilitation Facility 324500000XNone listed

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About NPI 1104212182

Liberty Bay Recovery Center, LLC's National Provider Identifier is 1104212182, issued on Apr 7, 2015. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Portland, ME. The record was last updated on Sep 4, 2024.