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Contact Information

LIBERTY BAY RECOVERY CENTER, LLC
343 FOREST AVE
PORTLAND, ME04101-2006
 Phone: 207-772-9800
 Fax: 207-536-1511
 Website:
Indicates primary specialty

NPI Profile & details for LIBERTY BAY RECOVERY CENTER, LLC

NPI # 1104212182
LBN Legal business name LIBERTY BAY RECOVERY CENTER, LLC
Authorized official BRUCE JARVIE - (VP, TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/07/2015
Last updated 09/04/2024 - More than a year ago
Identifiers
ME License # 684958
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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