- Practice location
- 343 Forest Ave, Portland, ME 04101-2006
- Phone
- 207-772-9800
- Fax
- 207-536-1511
- Last updated
- September 4, 2024
Liberty Bay Recovery Center, LLC is a healthcare organization based in Portland, ME. Liberty Bay Recovery Center, LLC practices in Portland, ME. The NPI Number for Liberty Bay Recovery Center, LLC is 1104212182 and holds a License No. 684958 (ME). The current practice location address for Liberty Bay Recovery Center, LLC is 343 Forest Ave, Portland, ME 04101-2006 and can be reached out via phone at 207-772-9800 and via fax at 207-536-1511.
Provider Profile Details
- NPI Number
- 1104212182
- Provider Name
- Liberty Bay Recovery Center, LLC
- Provider Entity Type
- Organization
- Address
- 343 Forest Ave, Portland, ME 04101-2006
- Phone Number
- 207-772-9800
- Fax Number
- 207-536-1511
- Primary Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- Organization Subpart
- No
- Authorized Official
- Bruce Jarvie · Vp, Treasurer · 214-379-3300
- Provider Enumeration Date
- April 7, 2015
- Last Update Date
- September 4, 2024
- Certification Date
- September 4, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 343 Forest Ave
Portland, ME 04101-2006 - City
- Portland
- State
- Maine
- Zip
- 04101-2006
- Phone Number
- 207-772-9800
- Fax Number
- 207-536-1511
Provider Business Mailing Address Details
- Address
- 343 Forest Ave
Portland, ME 04101-2006 - City
- Portland
- State
- ME
- Zip
- 04101-2006
- Phone Number
- 207-772-9800
- Fax Number
- 207-536-1511
License Information
- License Number (1)
- 684958
- License State (1)
- ME
- Taxonomy (1)
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X · Primary
- Taxonomy (2)
- Substance Abuse Rehabilitation Facility · 324500000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Rehabilitation, Substance Use Disorders near Portland, ME
View all Clinic/Center, Rehabilitation, Substance Use Disorders in Portland →- Casco Bay RecoveryClinic/Center, Rehabilitation, Substance Use Disorder · NPI 1124797931
- Center For Behavioral Health Me, INC.Clinic/Center, Rehabilitation, Substance Use Disorder · NPI 1922007798
- Enso, LLCClinic/Center, Rehabilitation, Substance Use Disorder · NPI 1194232819
- Guardian Portland LLCClinic/Center, Rehabilitation, Substance Use Disorder · NPI 1316417397
- Guardian Recovery - Virtual Counseling Maine LLCClinic/Center, Rehabilitation, Substance Use Disorder · NPI 1083438758
- Guardian Recovery NetworkClinic/Center, Rehabilitation, Substance Use Disorder · NPI 1104777341
Frequently Asked Questions
What is the NPI number of Liberty Bay Recovery Center, LLC?
The NPI number of Liberty Bay Recovery Center, LLC is 1104212182. It was assigned on April 7, 2015 and is currently active in the NPPES registry.
What is the specialty of Liberty Bay Recovery Center, LLC?
Liberty Bay Recovery Center, LLC is registered under the primary taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X), licensed in ME under license number 684958.
Where does Liberty Bay Recovery Center, LLC practice?
The practice location is 343 Forest Ave, Portland, ME 04101-2006. The office can be reached at 207-772-9800 (phone) or 207-536-1511 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104212182 directly on the NPPES registry website.