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COMMUNITY CORRECTIONAL ALTERNATIVES INC. NPI 1376628537


NPI Information

NPI: 1376628537
Provider Name: COMMUNITY CORRECTIONAL ALTERNATIVES, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
15 COLLEGE AVE
WATERVILLE, ME
ZIP 04901
Phone: (207) 872-4500
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COMMUNITY CORRECTIONAL ALTERNATIVES, INC. is a community behavioral health in Waterville, ME. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COMMUNITY CORRECTIONAL ALTERNATIVES, INC. NPI is 1376628537. The provider is registered as an organization entity type.

The provider's business location address is:

15 COLLEGE AVE
WATERVILLE, ME
ZIP 04901-104
Phone: (207) 872-4500
Fax: (207) 872-2441

The provider's authorized official is William S. Tanner .
The authorized official title is President and has the following contact phone number (207) 872-4500.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 6/21/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase Management414950MAINENo
2251S00000XCommunity/Behavioral Health414950MAINEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1170230000MEDICAIDMAINE
2=========OTHERMAINETAX ID #

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

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