Broadleaf Behavioral Health Pc in Westbrook - Addiction Medicine
Broadleaf Behavioral Health Pc - NPI 1689755530
Broadleaf Behavioral Health Pc is a Addiction Medicine in Westbrook, Maine. Broadleaf Behavioral Health Pc practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Broadleaf Behavioral Health Pc is 1689755530. The last update date is 2010-04-13.
Broadleaf Behavioral Health Pc's current location address is Po Box 810, Westbrook, Maine. You can contact this provider via phone number 8005950033 and fax number 2078393190. The mailing address for Broadleaf Behavioral Health Pc is Po Box 810, Westbrook, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadleaf Behavioral Health Pc |
|---|---|
| Address | Po Box 810, Westbrook, Maine |
| Phone Number | 8005950033 |
| Fax Number | 2078393190 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE PROPR |
|---|---|
| Authorized Official Name | Jones P David |
| Credentials | DO |
| Telephone Number | 2079858998 |
NPI Number Detail
| NPI Number | 1689755530 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2010-04-13 |
Provider Mailing Address Detail
| Address | Po Box 810 |
|---|---|
| City | Westbrook |
| State | Maine (ME) |
| Post Code | 40980810 |
| Phone Number | 8005950033 |
| Fax Number | 2078393190 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | ME1558 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 431879600 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Broadleaf Behavioral Health Pc by the Centers for Medicare & Medicaid Services?
The Broadleaf Behavioral Health Pc has been assigned the NPI (National Provider Identifier) 1689755530 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Broadleaf Behavioral Health Pc?
The Broadleaf Behavioral Health Pc is situated at Po Box 810, in the city of Westbrook, state of ME, with the zip code 40980810.
What is Broadleaf Behavioral Health Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Broadleaf Behavioral Health Pc is Addiction Medicine, and the corresponding taxonomy classification code for this specialized field is 2084A0401X.
On what date did the Centers for Medicare & Medicaid Services issue the 1689755530 to Broadleaf Behavioral Health Pc?
The Broadleaf Behavioral Health Pc received its 1689755530 assignment from the Centers for Medicare & Medicaid Services on 2006-10-18.
As of what date was the information regarding Broadleaf Behavioral Health Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Broadleaf Behavioral Health Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-04-13.
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