DISCOVERY HOUSE OF CENTRAL MAINE, INC. (NPI# 1851390629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851390629 |
Entity Type | Organization |
Organization Name | DISCOVERY HOUSE OF CENTRAL MAINE, INC. |
Other Organization Name | DISCOVERY HOUSE |
Practice Address |
40 Airport Road Waterville ME 04901-4502 |
Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
Practice Telephone | 2078727272 |
Practice Fax Number | 2078720639 |
Mailing Telephone | 8552592288 |
Mailing Fax Number | 4017802397 |
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 | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
221302 | RI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 1005001000 | 05 |
Other Name | Type Code |
---|---|
Discovery House | Doing Business As Name - Organization |
Discovery House CME | Doing Business As Name - Organization |
Street Address |
40 AIRPORT ROAD |
City | WATERVILLE |
State | ME |
Zip Code | 04901-4502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982144879 | Shawn Aaron Furey | Counselor | 40 Airport Road, Discovery House, Waterville, ME 04901 | 2017-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
Find all providers in zip 04901 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487961991 | Hope Recoverycenter | Clinic/Center | 143 Washington St., Limerick, ME 04048 | 2010-09-03 |
1336262955 | Michael Lymneos Inc. | Clinic/Center | 4 Whites Bridge Rd, Suite 300, Windham, ME 04062-5387 | 2007-04-09 |
1124101464 | Evergreen Behavioral Services | Clinic/Center | 131 Franklin Health Commons, Suite A Mt Blue Health Center, Farmington, ME 04938 | 2006-10-23 |
1952360760 | Transitions Counseling, Inc. | Clinic/Center | 583 Forest Ave, Portland, ME 04101-1547 | 2006-03-21 |
1316417397 | Guardian Portland LLC | Clinic/Center | 17 Bishop St, Portland, ME 04103-2659 | 2018-12-03 |
1922592096 | Recovery Connections of Maine | Clinic/Center | 105 Middle St, Lewiston, ME 04240-7037 | 2018-06-21 |
1104212182 | Liberty Bay Recovery Center | Clinic/Center | 343 Forest Ave, Portland, ME 04101-2006 | 2015-04-07 |
1770971236 | Recovery Maine, Inc. | Clinic/Center | 33 Main St., North Berwick, ME 03906 | 2015-01-06 |
1740688472 | Tradecraft12 Inc. | Clinic/Center | 160 Preble St, Portland, ME 04101-2426 | 2014-12-11 |
1922331941 | Sweetser | Clinic/Center | 50 Moody St, Saco, ME 04072-1536 | 2009-09-09 |
Find all providers with the same taxonomy |
City | WATERVILLE |
Zip Code | 04901 |
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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.