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Contact Information

GUARDIAN PORTLAND LLC
17 BISHOP ST
PORTLAND, ME04103-2659
 Phone: 561-274-6133
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for GUARDIAN PORTLAND LLC

NPI Number 1316417397
LBN Legal business name GUARDIAN PORTLAND LLC
Authorized official JUSTIN WILLIAMS - (FINANCIAL CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/03/2018
Last updated 12/03/2018 - About 8 years 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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