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Contact Information

CASCO BAY RECOVERY
989 BRIGHTON AVE
PORTLAND, ME04102-1022
 Phone: 207-332-2991
 Fax: 772-679-0244
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

261QR0405X
 

Adult Mental Health

261QM0850X
Indicates primary specialty

NPI Profile & details for CASCO BAY RECOVERY

NPI # 1124797931
LBN Legal business name CASCO BAY RECOVERY
Authorized official JOHN DEBERARDINIS - (DIRECTOR OF UR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2021
Last updated 09/16/2025 - About 9 months ago
Identifiers n/a
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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