GRACE STREET SERVICES LLC NPI 1417494857

NPI Information

NPI: 1417494857
Provider Name: GRACE STREET SERVICES, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Other Name: GRACE STREET SERVICES PORTLAND
Address: 72 AUBURN ST
PORTLAND, ME
ZIP 04103
Phone: (207) 245-1800

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NPI Details

GRACE STREET SERVICES, LLC is a substance abuse rehabilitation facility in Portland, ME. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. GRACE STREET SERVICES, LLC NPI is 1417494857. The provider is registered as an organization entity type.
The provider Other Name Is Grace Street Services Portland.

The provider's business location address is:

72 AUBURN ST
PORTLAND, ME
ZIP 04103-104
Phone: (207) 245-1800

The provider's authorized official is Brandy Boyle .
The authorized official title is Billing Contact and has the following contact phone number (207) 245-1800.

The enumeration date for this NPI number is 1/24/2017 and was last updated on 1/24/2017.

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
1	324500000X	Substance Abuse Rehabilitation Facility				Yes

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: 11/21/2025

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