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Evergreen Recovery LLC

NPI #1245028604 in Portland, Maine

Provider Information

NPI Number
1245028604
Entity Type
Organization
Organization Name
Evergreen Recovery LLC
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Apr 28, 2025
Last Updated
Apr 28, 2025

Practice Location

Address
12 RANDALL ST
City
Portland
State
Maine
ZIP Code
04103-5116
Phone
(781) 469-6505

Authorized Official

Name
AMANDA TERRANOVA
Title
PROGRAM COORDINATOR
Phone
(617) 291-9224

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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