NPI 1053208710

Evergreen Recovery LLC

Organisation Substance Abuse Rehabilitation Facility Portland, ME

Practice location

Address: 14 Randall St, Portland, ME 04103
Phone: (781) 469-6505
Mailing address: 22 Redlon Rd, Portland, ME 04102-2218

Authorised official

Name: Amanda Terranova
Title: Program Manager
Phone: (617) 291-9224

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Maine →

Registry record

NPI: 1053208710
Entity type: Organization
NPI issued: 23 Jun 2025
Record last updated: 23 Jun 2025

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.