Organization
PINE TREE RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BARRETT (AUTHORIZED OFFIICAL)
(603) 536-5500
Entity
Organization
Contact information
Practice address
17 BISHOP ST, PORTLAND, ME 04103-2659
(833) 338-6945
Mailing address
446 MAIN ST, PLYMOUTH, NH 03264-4521
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
01/05/2026
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