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NPI Code Detail

MEDICARE: RECOVERY CONNECTIONS OF MAINE

MEDICARE: RECOVERY CONNECTIONS OF MAINE
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1922592096
Entity Type Code : Organization
Provider Name (Legal Business Name) : RECOVERY CONNECTIONS OF MAINE
Provider Business Mailing Address
First Line : 103 PARK ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7037
Country : US
Telephone Number : 207-440-7922
Fax Number :
Provider Business Practice Location Address
First Line : 103 PARK ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7203
Country : US
Telephone Number : 207-440-7922
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JEREMY ISAAC HILTZ
Credential :
Telephone Number : 207-440-7922
Provider Enumeration Date : 06/21/2018
Last Update Date : 02/20/2025

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Directions to “RECOVERY CONNECTIONS OF MAINE ” Practice Location

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