Organization
GUARDIAN PORTLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN WILLIAMS (FINANCIAL CONTROLLER)
(877) 831-2533
Entity
Organization
Contact information
Practice address
17 BISHOP ST, PORTLAND, ME 04103-2659
(561) 274-6133
Mailing address
3333 S CONGRESS AVE STE 402, DELRAY BEACH, FL 33445-7346
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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