| NPI | 1790559888 |
|---|---|
| Doing Business As | PORTLAND TREATMENT |
| Entity Type | Organization |
| Authorized Contact | NATHAN ROBERTS Executive Director 207-800-3347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-09 |