Healthcare Provider Details
I. General information
NPI: 1255264800
Provider Name (Legal Business Name): MAINE RECOVERY PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
325D KENNEDY MEMORIAL DR STE 1
WATERVILLE ME
04901-4530
US
IV. Provider business mailing address
325D KENNEDY MEMORIAL DR STE 1
WATERVILLE ME
04901-4530
US
V. Phone/Fax
- Phone: 207-204-3671
- Fax: 207-607-7816
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELLE
BRETON
Title or Position: CO-OWNER
Credential: PMHNP-BC
Phone: 207-204-3671