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MAPLE LEAF FARM ASSOCIATES INC. NPI 1316904360


NPI Information

NPI: 1316904360
Provider Name: MAPLE LEAF FARM ASSOCIATES, INC.

Doing Business As: MAPLE LEAF TREATMENT CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
10 MAPLE LEAF FARM RD
MAPLE LEAF TREATMENT CENTER
UNDERHILL, VT
ZIP 05489
Phone: (802) 899-2911
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MAPLE LEAF FARM ASSOCIATES, INC. is a substance abuse rehabilitation facility in Underhill, VT. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MAPLE LEAF FARM ASSOCIATES, INC. NPI is 1316904360. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Maple Leaf Treatment Center.

The provider's business location address is:

10 MAPLE LEAF FARM RD
MAPLE LEAF TREATMENT CENTER
UNDERHILL, VT
ZIP 05489
Phone: (802) 899-2911
Fax: (802) 899-2327

The provider's authorized official is Catherine Iacuzzi .
The authorized official title is Ceo & Executive Director and has the following contact phone number (802) 899-2911.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 11/7/2016.


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
1207QA0401XFamily MedicineAddiction MedicineNo
2324500000XSubstance Abuse Rehabilitation FacilityVERMONTYes

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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