Guardian Portland LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GUARDIAN PORTLAND LLC

Practice address

17 Bishop St
Portland, ME 04103-2659

Phone

(561) 274-6133

NPI assigned

Dec 3, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Justin Williams

Title

Financial Controller

Phone

(877) 831-2533

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1316417397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S CONGRESS AVE STE 402",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334457346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BISHOP ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032659",
            "telephone_number": "561-274-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PORTLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "877-831-2533",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Growing Opportunities, Inc.
• Maria Esmeralda Grunglasse, LMHC
• Fredericka E Grunhuvd, LCSW
• Matthew Drew Grunwald, M.D.
• Amy Grzysiewicz, D.O.
• Guardian Recovery - Virtual Counseling Maine LLC
• Guardian Recovery Network
• Ada Guarino
• Joel Guarna, PHD
• Chelsey Silva Guastucci

• Substance Use Disorder Rehabilitation Clinic/Center in Portland, ME
• Providers in Portland, ME by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.