63 WASHINGTON STREET – NPI #1245528314
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

63 WASHINGTON STREET is a community based residential treatment facility located in CAMDEN, ME. NPPES has assigned the NPI number 1245528314 to 63 WASHINGTON STREET on July 11, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 63 WASHINGTON STREET below.

NPI Profile for
63 WASHINGTON STREET

NPI Number
1245528314
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
63 WASHINGTON STREET
Primary location
63 WASHINGTON ST
CAMDEN, ME 04843-1581
Phone: (207) 236-3638 Fax: (207) 236-3638
Mailing address
63 WASHINGTON STREET
CAMDEN, ME 04843
Phone: (207) 236-3638 Fax: (207) 236-3638
Organization Subpart
No
Authorized Official
THERESA WILLEY
ADMINISTRATOR
Phone: (207) 236-3638
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 ME ALLS 4136

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.