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Organization

MAINE RECOVERY COLLECTIVE, LLC

Active
Other names
Metanoia Recovery Collective, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MISS LISA MARIE NASHAWATY (CONSULTANT/PRESIDENT)
(617) 690-9020
Entity
Organization

Contact information

Practice address
56 MOSHER ST, SOUTH PORTLAND, ME 04106-2122
(617) 690-9020
Mailing address
22 REDLON RD, PORTLAND, ME 04102-2218
(617) 690-9020

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
10/31/2023
Last updated
05/31/2024
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