Provider Demographics
NPI:1922592096
Name:RECOVERY CONNECTIONS OF MAINE
Entity Type:Organization
Organization Name:RECOVERY CONNECTIONS OF MAINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:ISAAC
Authorized Official - Last Name:HILTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-440-7922
Mailing Address - Street 1:105 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7037
Mailing Address - Country:US
Mailing Address - Phone:207-440-7922
Mailing Address - Fax:
Practice Address - Street 1:105 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7037
Practice Address - Country:US
Practice Address - Phone:207-440-7922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder