DISCOVERY HOUSE WC, INC. (NPI# 1710986583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710986583 |
| Entity Type | Organization |
| Organization Name | DISCOVERY HOUSE WC, INC. |
| Practice Address |
12 Beech St Suite 2 Calais ME 04619-1203 |
| Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
| Practice Telephone | 2074541300 |
| Practice Fax Number | 2074541332 |
| Mailing Telephone | 8552592288 |
| Mailing Fax Number | 8775520439 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | KIM SANDERSON (INTERIM PRESIDENT, CTC DIVISION) |
| Authorized Official Telephone | 8552592288 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACADIA HEALTHCARE COMPANY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
543500 | ME | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
459097 | ME | Ambulatory Health Care Facilities |
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 431871700 | 05 |
| Other Name | Type Code |
|---|---|
| Discovery House WC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918128 | Discovery House Wc, Inc. | Clinic/Center | 11 North Street, Presque Isle, ME 04769 | 2020-10-02 |
| Street Address |
12 BEECH ST SUITE 2 |
| City | CALAIS |
| State | ME |
| Zip Code | 04619-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235756388 | Lauren Cook | Counselor | 12 Beech St, Calais, ME 04619-1203 | 2020-07-06 |
| 1265083109 | Ryan Kizitaff | Counselor | 12 Beech St, Calais, ME 04619-1203 | 2019-09-23 |
| 1659922599 | Colby Soctomah-lewey | Counselor | 12 Beech St, Calais, ME 04619-1203 | 2019-09-23 |
| 1326531971 | Carsten Mackeldey | Counselor | 12 Beech St, Calais, ME 04619-1203 | 2018-06-08 |
| 1144734120 | Deborah Ann Rogers | Counselor | 12 Beech St, Calais, ME 04619-1203 | 2017-11-29 |
| 1093234585 | Eunice E Francis | Counselor | 12 Beech St, Calais, ME 04619-1203 | 2017-09-15 |
| 1689020695 | Elizabeth Pollock | Counselor | 12 Beech St, Calais, ME 04619-1203 | 2016-05-09 |
| 1003240508 | Jane E Delmonaco | Counselor | 12 Beech St, Calais, ME 04619-1203 | 2013-09-03 |
| 1952735722 | Raymond Brown | Counselor | 12 Beech St, Calais, ME 04619-1203 | 2013-08-28 |
| 1891129664 | Deborah Lynn Daggett | Counselor | 12 Beech St, Calais, ME 04619-1203 | 2013-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554209 | Jahoon Koo | Nurse Practitioner | 24 Hospital Lane Calais, Calais, ME 04619 | 2018-07-17 |
| 1114458080 | Helpinghand 643939nbltd | Homemaker | 295 North Street, Calis, ME 04619 | 2017-03-23 |
| 1992063440 | Coastal Med Tech Inc | Durable Medical Equipment & Medical Supplies | 376 North Maine Street, Suite C, Calais, ME 04619 | 2012-05-02 |
| 1275820672 | Karen L Sears | Pharmacist | 223 and 233 North Street, Calais, ME 04619 | 2011-07-06 |
| 1376857458 | David L Wyman | Pharmacist | 223 and 233 North St, Rite Aid Pharmacy, Calais, ME 04619 | 2010-08-02 |
| 1902132038 | Brenda Ann Spear | Developmental Therapist | 23 Center Street, Baring Plt., ME 04619 | 2009-10-24 |
| 1285762328 | City of Calais | Clinic/Center | 34 Blue Devil Hill, Calais, ME 04619 | 2007-03-01 |
| 1467540930 | Brian Earle Thompson | Social Worker | 55 Franklin Street, Eastport Health Care, Calais, ME 04619 | 2006-10-10 |
| 1588770689 | William Robert Gould | Dentist | 399 Main Steet, Calais, ME 04619 | 2006-08-22 |
| 1588637532 | Edward C Barrera | Radiology | 24 Hospital Lane, Calais, ME 04619 | 2006-02-09 |
| Find all providers in zip 04619 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740573161 | Merrimack River Medical Services | Clinic/Center | 18 Mollison Way, Lewiston, ME 04240-5811 | 2011-05-18 |
| 1285827527 | Discovery House Br, Inc. | Clinic/Center | 689 Odlin Rd., Bangor, ME 04401 | 2007-08-21 |
| 1184762247 | Cap Quality Care, Inc. | Clinic/Center | 1 Delta Dr, Suite A, Westbrook, ME 04092-4765 | 2007-02-02 |
| 1851390629 | Discovery House of Central Maine, Inc. | Clinic/Center | 40 Airport Road, Waterville, ME 04901-4502 | 2005-07-14 |
| 1922007798 | Center for Behavioral Health Me, Inc. | Clinic/Center | 400 Western Ave, South Portland, ME 04106-1704 | 2005-07-14 |
| 1053918128 | Discovery House Wc, Inc. | Clinic/Center | 11 North Street, Presque Isle, ME 04769 | 2020-10-02 |
| 1952709529 | Carroll L Ackley | Clinic/Center | 74 Dowd Rd, Bangor, ME 04401-6700 | 2014-12-15 |
| 1750691184 | Crc Recovery Inc | Clinic/Center | 44 School St, Warren, ME 04864-4259 | 2010-10-19 |
| 1912233826 | Merrimack River Medical Services | Clinic/Center | 2300 Congress St, Portland, ME 04102-1908 | 2009-10-28 |
| 1568477297 | Acadia Healthcare, Inc | Clinic/Center | 268 Stillwater Avenue, Bangor, ME 04401 | 2006-07-30 |
| Find all providers with the same taxonomy | ||||
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| 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.