NPI 1417494857

Grace Street Services, LLC

Organisation Substance Abuse Rehabilitation Facility Portland, ME

Practice location

Address: 72 Auburn St, Portland, ME 04103-2104
Phone: (207) 245-1800
Mailing address: 550 Lisbon St, Lewiston, ME 04240-6580

Authorised official

Name: Brandy Boyle
Title: Billing Contact
Phone: (207) 245-1800

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Maine →

Registry record

NPI: 1417494857
Entity type: Organization
NPI issued: 24 Jan 2017
Record last updated: 24 Jan 2017

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.