# GREAT ISLAND RECOVERY

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

## Provider details

- **NPI number:** 1336687565
- **Authorized official:** CECILY H RICH LADC, MSW (DIRECTOR)
- **Authorized official phone:** (207) 329-5615

## Contact information

- **Practice address:** 57 EXCHANGE ST, STE. 100, PORTLAND, ME 04101-5000
- **Practice address phone:** (207) 329-5615
- **Practice address fax:** (207) 536-1615
- **Mailing address:** 57 EXCHANGE ST, STE. 100, PORTLAND, ME 04101-5000
- **Mailing address phone:** (207) 329-5615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LC4288 | ME | Yes |

## Other

- **Enumeration date:** 02/08/2017
- **Last updated:** 02/08/2017