THE OPPORTUNITY ALLIANCE NPI 1154557452

NPI Information

NPI: 1154557452
Provider Name: THE OPPORTUNITY ALLIANCE
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1329 BROADWAY
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 874-1175
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THE OPPORTUNITY ALLIANCE is a community based residential treatment facility mental illness in South Portland, ME. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. THE OPPORTUNITY ALLIANCE NPI is 1154557452. The provider is registered as an organization entity type.

The provider's business location address is:

1329 BROADWAY
SOUTH PORTLAND, ME
ZIP 04106-110
Phone: (207) 874-1175
Fax: (207) 874-1181

The provider's authorized official is Virginia Gentile .
The authorized official title is Chief Financial Officer and has the following contact phone number (207) 874-1175.

The enumeration date for this NPI number is 6/2/2009 and was last updated on 6/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	105460303	MEDICAID	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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