CHARLOTTE WHITE CENTER (NPI# 1588737985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588737985 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE WHITE CENTER |
| Other Organization Name | EXPANDING HORIZONS |
| Practice Address |
487 Garland Rd Dexter ME 04930-2652 |
| Mailing Address |
572 Bangor Rd Dover Foxcroft ME 04426-3373 |
| Practice Telephone | 2075642464 |
| Practice Fax Number | 2075642404 |
| Mailing Telephone | 2075642464 |
| Mailing Fax Number | 2075642404 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-11-12 |
| Authorized Official Name | MR. RICHARD M BROWN (CEO) |
| Authorized Official Telephone | 2075642464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 164840100 | 05 |
| Other Name | Type Code |
|---|---|
| Expanding Horizons | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154497030 | Charlotte White Center | Community Based Residential Treatment Facility, Mental Illness | 9 Paul St, Dover Foxcroft, ME 04426-1050 | 2006-11-24 |
| 1588738082 | Charlotte White Center | Contractor | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2006-11-17 |
| 1811315062 | Charlotte White Center | Community/Behavioral Health | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2014-04-04 |
| 1497002943 | Charlotte White Center | Custodial Care Facility | 487 Garland Rd, Dexter, ME 04930-2652 | 2012-08-14 |
| 1942526181 | Charlotte White Center | Community/Behavioral Health | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2010-04-13 |
| 1003059049 | Charlotte White Center | Custodial Care Facility | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2009-04-07 |
| 1649337197 | Charlotte White Center | Clinic/Center | 59 River St, Dover Foxcroft, ME 04426-1322 | 2007-01-03 |
| 1063588606 | Charlotte White Center | Day Training, Developmentally Disabled Services | 572 Bangor Rd, Dover Foxcroft, ME 04426 | 2006-11-27 |
| 1447325733 | Charlotte White Center | Community/Behavioral Health | 572 Bangor Rd, Dover Foxcroft, ME 04426 | 2006-11-21 |
| Street Address |
487 GARLAND RD |
| City | DEXTER |
| State | ME |
| Zip Code | 04930-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497002943 | Charlotte White Center | Custodial Care Facility | 487 Garland Rd, Dexter, ME 04930-2652 | 2012-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740493303 | Maine School Administrative District No. 46 | Local Education Agency (LEA) | 7 Main Street, Dexter, ME 04930 | 2007-05-08 |
| 1942413539 | Maine School Administrative District No. 46 | Case Management | 7 Main Street, Dexter, ME 04930 | 2007-05-08 |
| 1346383239 | Karen Clark Staffeld | Social Worker | 14 Maple Street, Dexter, ME 04930 | 2007-02-14 |
| 1457750044 | Sonja Hall | Physical Therapist | 335 Corrina Road, Dexter, ME 04930-0212 | 2014-08-19 |
| 1205070919 | Dexter Boarding Home | Custodial Care Facility | 45 Main St, Dexter, ME 04930-1267 | 2009-04-24 |
| 1811931249 | Robert J. Lodato | Internal Medicine | 41 High St, Dexter, ME 04930-1311 | 2006-06-15 |
| 1417269242 | Lori Michelle Towne | Nurse Practitioner | 41 High St, Dexter, ME 04930-1311 | 2010-07-09 |
| 1417079039 | Mrh Corp. | Family Medicine | 51 High St, Dexter, ME 04930-1311 | 2007-04-04 |
| 1174645931 | Mrh Corp. | Internal Medicine | 41 High St, Dexter, ME 04930-1311 | 2007-04-04 |
| 1366487258 | Lisa A. Starkweather | Nurse Practitioner | 51 High St, Dexter, ME 04930-1311 | 2006-06-17 |
| Find all providers in zip 04930 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497917371 | Summit Achievement of Stow | Residential Treatment Facility, Emotionally Disturbed Children | 69 Deer Hill Rd, Stow, ME 04037-3100 | 2008-07-01 |
| 1316134273 | Santana Lynn Riding Stables | Residential Treatment Facility, Emotionally Disturbed Children | 728 Upper Guinea Rd, Lebanon, ME 04027-4417 | 2007-09-25 |
| 1770703597 | Good Will Home Association | Residential Treatment Facility, Emotionally Disturbed Children | Waterville Rd, Prescott Administration Bldg., Hinckley, ME 04944-0159 | 2007-04-26 |
| 1144397480 | Nfi North, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 99 North Mountain Rd, Jefferson, ME 04348 | 2006-11-30 |
| 1679649990 | Nfi North, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 55 Oliver St, Bath, ME 04530-2826 | 2006-11-28 |
| 1376610311 | Nfi North, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 63 Summit Ave, Bangor, ME 04401-5631 | 2006-11-28 |
| 1093881369 | Nfi North, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 98 Russell St, Lewiston, ME 04240-6004 | 2006-11-28 |
| 1134295405 | Nfi North, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 15 Wayside Ave, Bridgton, ME 04009-1231 | 2006-11-28 |
| 1700958022 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2006-11-14 |
| 1669415659 | Harbor Schools of Maine, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1152 Rockland St., W. Rockport, ME 04865 | 2006-06-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHARLOTTE WHITE CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.