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MOTIVATIONAL SERVICES INC NPI 1558465575


NPI Information

NPI: 1558465575
Provider Name: MOTIVATIONAL SERVICES INC

Other Name: ELM STREET RESIDENCE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 20D2232120

Address:
14 ELM ST
AUGUSTA, ME
ZIP 04330
Phone: (207) 626-3475
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MOTIVATIONAL SERVICES INC is a community based residential treatment facility mental illness in Augusta, ME. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MOTIVATIONAL SERVICES INC NPI is 1558465575. The provider is registered as an organization entity type.
The provider Other Name Is Elm Street Residence.

The provider's business location address is:

14 ELM ST
AUGUSTA, ME
ZIP 04330-110
Phone: (207) 626-3475

The provider's authorized official is Richard M Weiss .
The authorized official title is Executive Director and has the following contact phone number (207) 626-3465.

The CLIA number assigned to this NPI record is 20D2232120 - other - pnmi- congregate/assisted with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness231968MAINEYes

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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