MEDICARE: COASTAL RECOVERY PARTNERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1447101324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COASTAL RECOVERY PARTNERS LLC

Provider Business Mailing Address
First Line	:	1726 BROADWAY
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-3301
Country	:	US
Telephone Number	:	207-500-1320
Fax Number	:

Provider Business Practice Location Address
First Line	:	343 GORHAM RD
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-2304
Country	:	US
Telephone Number	:	207-500-1320
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	RILYNN PAULINE NAJIM
Credential	:	LADC
Telephone Number	:	207-500-1320

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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