GREAT ISLAND RECOVERY NPI 1336687565

NPI Information

  • NPI: 1336687565
  • Provider Name: GREAT ISLAND RECOVERY
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 57 EXCHANGE ST
    STE. 100
    PORTLAND, ME
    ZIP 04101
  • Phone: (207) 329-5615

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NPI Details

GREAT ISLAND RECOVERY is an addiction (substance use disorder) counselor in Portland, ME. GREAT ISLAND RECOVERY NPI is 1336687565. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

57 EXCHANGE ST
STE. 100
PORTLAND, ME
ZIP 04101-000
Phone: (207) 329-5615
Fax: (207) 536-1615

The provider's authorized official is Cecily H Rich .
The authorized official title is Director and has the following contact phone number (207) 329-5615.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 2/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)LC4288MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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