Organization
CASCO BAY RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DEBERARDINIS (DIRECTOR OF UR)
(781) 799-4350
Entity
Organization
Contact information
Practice address
989 BRIGHTON AVE, PORTLAND, ME 04102-1022
(207) 332-2991
(772) 679-0244
Mailing address
989 BRIGHTON AVE, PORTLAND, ME 04102-1022
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/16/2025
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