OrganizationActive
Evergreen Recovery LLC
NPI 1245028604 · Substance Abuse Rehabilitation Facility · Portland, ME
Provider details
- NPI number
- 1245028604
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Amanda Terranova, Program Coordinator
Mailing address
22 Redlon Rd
Portland, ME 04102-2218
Registry dates
- Enumerated
- 2025-04-28
- Last updated
- 2025-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.