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KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC. NPI 1770956393


NPI Information

NPI: 1770956393
Provider Name: KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 20D2221756

Address:
16 KIDS PEACE WAY
ELLSWORTH, ME
ZIP 04605
Phone: (207) 776-1351
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KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND, INC. is a community behavioral health in Ellsworth, 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. KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND, INC. NPI is 1770956393. The provider is registered as an organization entity type.

The provider's business location address is:

16 KIDS PEACE WAY
ELLSWORTH, ME
ZIP 04605-483
Phone: (207) 776-1351

The provider's authorized official is Kenneth A Olson .
The authorized official title is Executive Dir/clinical Dir Me and has the following contact phone number (207) 776-1351.

The CLIA number assigned to this NPI record is 20D2221756 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2015 and was last updated on 11/4/2015.


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
1251S00000XCommunity/Behavioral Health322081MAINEYes

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: 5/5/2024

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