# PORTLAND RECOVERY GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093492969
- **Authorized official:** ALEXANDER PHILIP COUPE (OWNER)
- **Authorized official phone:** (207) 838-4546

## Contact information

- **Practice address:** 1584 FOREST AVE, PORTLAND, ME 04103-1314
- **Practice address phone:** (207) 838-4546
- **Mailing address:** 27 CYPRESS ST, PORTLAND, ME 04103-2008
- **Mailing address phone:** (207) 838-4546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2023
- **Last updated:** 06/30/2023