LIBERTY BAY RECOVERY CENTER


Address: 343 Forest Ave, Portland, ME 04101-2006
Phone: 2077729800

LIBERTY BAY RECOVERY CENTER (NPI# 1104212182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104212182
Entity Type Organization
Organization Name LIBERTY BAY RECOVERY CENTER
Practice Address 343 Forest Ave
Portland
ME 04101-2006
Practice Telephone 2077729800
Practice Fax Number 2075361511
Mailing Telephone 2077729800
Mailing Fax Number 2075361511
Enumeration Date 2015-04-07
Last Update Date 2020-05-20
Authorized Official Name JASMINE CERMELJ (OPERATIONS MANAGER)
Authorized Official Telephone 2077729800
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
684958 ME Ambulatory Health Care Facilities

Office Location

Street Address 343 FOREST AVE
City PORTLAND
State ME
Zip Code 04101-2006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588677603 Kimberly Austin Counselor 343 Forest Ave, Portland, ME 04101-2006 2006-08-14
1508357112 Samantha C Stern Physician Assistant 343 Forest Ave, Portland, ME 04101-2006 2018-05-21
1245548361 Jill Paperno Standish Social Worker 343 Forest Ave, Portland, ME 04101-2006 2010-09-23
1629203666 Gregory Morin Social Worker 343 Forest Ave, Portland, ME 04101-2006 2009-05-20
1477788545 Debra Barth Social Worker 343 Forest Ave, Portland, ME 04101-2006 2009-05-19
1831324920 John Daniel Lichtman Social Worker 343 Forest Ave, Portland, ME 04101-2006 2009-05-19
1780849992 Sheila A Frank Counselor 343 Forest Ave, Portland, ME 04101-2006 2008-07-28
1346378197 Brett Russman Social Worker 343 Forest Ave, Portland, ME 04101-2006 2007-03-02
1972631620 Hannah Curtis Social Worker 343 Forest Ave, Portland, ME 04101-2006 2007-03-02
1215081484 Paula Webster Social Worker 343 Forest Ave, Portland, ME 04101-2006 2007-01-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306450655 Jocylin Egan Nurse Practitioner 442 Congress Street, 2nd Floor, Portland, ME 04101 2020-09-03
1255963559 Portcity Home Healthcare LLC In Home Supportive Care 525 Forest Avenue, Suite 8, Portland, ME 04101 2020-02-05
1578101929 Mohamed Hassan Mohamed Student in an Organized Health Care Education/Training Program 75 Lancaster St Ste 218a, Portland, ME 04101 2019-12-17
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
1093379224 Alexandra Strawbridge Maurer Acupuncturist 50 A Cove Street, Portland, ME 04101 2019-04-23
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1144733064 Alixandria Elaine Marie Winchell Massage Therapist One City Center, Portland, ME 04101 2017-11-14
1417473638 Rachel S Schwaner Occupational Therapist 78 Danforth Street, Apartment 6, Portland, ME 04101 2017-08-18
1023538154 Derina Boothroyd Audiologist-Hearing Aid Fitter 985 Forest Ave., Portland, ME 04101 2017-06-20
1881123297 Mark Mccullough Social Worker 57 Exchange Street, Suite 403, Portland, ME 04101 2017-06-08
Find all providers in zip 04101

Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952940298 New Start Program Clinic/Center 12180 Se Market St, Portland, OR 97216-3923 2020-01-03
1992204697 Sober Living Oregon Treatment Center Clinic/Center 10209 Se Division, Portland, OR 97266 2018-02-08
1447605258 Crestview Recovery Services, LLC Clinic/Center 6027 Se Belmont St, Portland, OR 97215-1927 2016-04-29
1669856571 Portland Iop, LLC Clinic/Center 748 Se 181st Ave, Portland, OR 97233-4945 2015-07-10
1801947668 Crc Health Oregon, LLC Clinic/Center 324 Nw Davis St., Portland, OR 97209 2007-01-16
1558412320 Crc Health Oregon, LLC Clinic/Center 2600 Se Belmont St, Portland, OR 97214 2007-01-16
1932250719 Crc Health Oregon, LLC Clinic/Center 6601 Ne 78th Court, Ste A3, Portland, OR 97218 2007-01-16
1326056433 Lutheran Community Services Northwest Clinic/Center 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 2006-08-04
1952360760 Transitions Counseling, Inc. Clinic/Center 583 Forest Ave, Portland, ME 04101-1547 2006-03-21
1194297671 Silver Lining Treatment Center (dba) Recovery Blvd Clinic/Center 10209 Se Division St Bldg D, Portland, OR 97266-1372 2018-12-21
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 04101

Improve Information

Please comment or provide details below to improve the information on LIBERTY BAY RECOVERY CENTER.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches