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THE OPPORTUNITY ALLIANCE NPI 1518193812


NPI Information

NPI: 1518193812
Provider Name: THE OPPORTUNITY ALLIANCE
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
50 LYDIA LN
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 1518193812. The provider is registered as an organization entity type.

The provider's business location address is:

50 LYDIA LN
SOUTH PORTLAND, ME
ZIP 04106-156
Phone: (207) 874-1175
Fax: (207) 874-1181

The provider's authorized official is Lauren Hawley .
The authorized official title is Revenue Manager and has the following contact phone number (207) 523-5018.

The enumeration date for this NPI number is 6/2/2009 and was last updated on 10/9/2018.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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
1105460202MEDICAIDMAINE
2105460203MEDICAIDMAINE
3105460225MEDICAIDMAINE
4105460229MEDICAIDMAINE
5105460200MEDICAIDMAINE
6105460201MEDICAIDMAINE
7105460204MEDICAIDMAINE
8105460218MEDICAIDMAINE
9105460217MEDICAIDMAINE
10105460212MEDICAIDMAINE
11105460230MEDICAIDMAINE
12105460227MEDICAIDMAINE
13105460205MEDICAIDMAINE
14105460228MEDICAIDMAINE
15105460231MEDICAIDMAINE
16105460206MEDICAIDMAINE
17105460215MEDICAIDMAINE
18105460226MEDICAIDMAINE
19105460233MEDICAIDMAINE

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: 11/14/2023

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