Organization · Type 2 NPI
Evergreen Recovery LLC
Substance Abuse Rehabilitation Facility · Portland, ME
NPI number
1245028604
Active
Practice location
12 Randall St
Portland, ME 04103-5116
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 1245028604
Evergreen Recovery LLC's National Provider Identifier is 1245028604, issued on Apr 28, 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 Apr 28, 2025.