Outpatient Chemical Dependency Agency in Bangor - Substance Abuse Rehabilitation Facility
Outpatient Chemical Dependency Agency - NPI 1275723371
Outpatient Chemical Dependency Agency is a Substance Abuse Rehabilitation Facility in Bangor, Maine. Outpatient Chemical Dependency Agency practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Outpatient Chemical Dependency Agency is 1275723371. The last update date is 2007-07-26.
Outpatient Chemical Dependency Agency's current location address is 185 Harlow Street, Bangor, Maine. You can contact this provider via phone number 2079901941 and fax number 2079902601. The mailing address for Outpatient Chemical Dependency Agency is 185 Harlow Street, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Outpatient Chemical Dependency Agency |
|---|---|
| Address | 185 Harlow Street, Bangor, Maine |
| Phone Number | 2079901941 |
| Fax Number | 2079902601 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Curtis L Warren |
| Credentials | LADC |
| Telephone Number | 2079901941 |
NPI Number Detail
| NPI Number | 1275723371 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2007-07-26 |
Provider Mailing Address Detail
| Address | 185 Harlow Street |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 4401 |
| Phone Number | 2079901941 |
| Fax Number | 2079902601 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 265582 |
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Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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What is the unique identifier code issued to Outpatient Chemical Dependency Agency by the Centers for Medicare & Medicaid Services (CMS)?
The Outpatient Chemical Dependency Agency has been assigned the NPI (National Provider Identifier) 1275723371. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Outpatient Chemical Dependency Agency located?
The Outpatient Chemical Dependency Agency is located at 185 Harlow Street, Bangor, ME 4401.
What is the area of specialization for Outpatient Chemical Dependency Agency, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Outpatient Chemical Dependency Agency is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this area of expertise is 324500000X.
On what date was the 1275723371 assigned to Outpatient Chemical Dependency Agency?
The Outpatient Chemical Dependency Agency was issued its 1275723371 on 2007-07-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Outpatient Chemical Dependency Agency most recently updated?
The details pertaining to the Outpatient Chemical Dependency Agency, including its address, specialty, and other relevant information, were last refreshed on 2007-07-26.