Organization · Type 2 NPI

Guardian Portland LLC

Substance Use Disorder Rehabilitation Clinic/Center · Portland, ME

NPI number 1316417397 Active

Practice location

17 Bishop St
Portland, ME 04103-2659

Mailing address

3333 S Congress Ave Ste 402
Delray Beach, FL 33445-7346

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

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About NPI 1316417397

Guardian Portland LLC's National Provider Identifier is 1316417397, issued on Dec 3, 2018. 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 Dec 3, 2018.