NPI 1013674217

Portland Recovery Collective, LLC

Organisation Substance Use Disorder Rehabilitation Clinic/Center Portland, ME

Practice location

Address: 509 Forest Ave, Portland, ME 04101-1521
Phone: (617) 690-9020
Mailing address: 22 Redlon Rd, Portland, ME 04102-2218

Authorised official

Name: Lisa Nashawaty
Title: Ceo
Phone: (617) 690-9020

Registered specialties

Substance Use Disorder Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Other Clinic/Center providers in Maine →

Registry record

NPI: 1013674217
Entity type: Organization
NPI issued: 22 Nov 2021
Record last updated: 22 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.