Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Recovery LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1245028604

Evergreen Recovery LLC is a Substance Abuse Rehabilitation Facility in Portland, Maine. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12 Randall St
Portland, ME 04103-5116
Phone: (781) 469-6505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1245028604
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Terranova — Program Coordinator · (617) 291-9224
NPI enumeratedApril 28, 2025
Last updated in NPPESApril 28, 2025
Certification dateApril 27, 2025
Mailing address22 Redlon Rd, Portland, ME 04102-2218

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