| Enso Recovery | |
|
103 India St Portland ME 04101-4211 | |
| (207) 245-1800 | |
| Not Available |
| Full Name | Enso Recovery |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 103 India St, Portland, Maine |
| Authorized Official Name and Position | Timothy Cheney (OWNER) |
| Authorized Official Contact | 7723210622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enso Recovery 103 India St Portland ME 04101-4211 Ph: (207) 245-1800 | Enso Recovery 103 India St Portland ME 04101-4211 Ph: (207) 245-1800 |
| NPI Number | 1194232819 |
|---|---|
| Provider Enumeration Date | 01/03/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194232819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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