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Organization
GREAT ISLAND RECOVERY
Active
Organization
GREAT ISLAND RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILY H RICH LADC, MSW (DIRECTOR)
(207) 329-5615
Entity
Organization
Contact information
Practice address
57 EXCHANGE ST, STE. 100, PORTLAND, ME 04101-5000
(207) 329-5615
(207) 536-1615
Mailing address
57 EXCHANGE ST, STE. 100, PORTLAND, ME 04101-5000
(207) 329-5615
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC4288
ME
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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