KALEIDOSCOPE EATING DISORDERS AND DIET RECOVERY CENTER NPI 1356960728

NPI Information

NPI: 1356960728
Provider Name: KALEIDOSCOPE EATING DISORDERS AND DIET RECOVERY CENTER
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
75 MARKET ST STE 304
PORTLAND, ME
ZIP 04101
Phone: (207) 205-5505
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KALEIDOSCOPE EATING DISORDERS AND DIET RECOVERY CENTER is a health service clinic center in Portland, ME. KALEIDOSCOPE EATING DISORDERS AND DIET RECOVERY CENTER NPI is 1356960728. The provider is registered as an organization entity type.

The provider's business location address is:

75 MARKET ST STE 304
PORTLAND, ME
ZIP 04101-040
Phone: (207) 205-5505

The provider's authorized official is Amy Grimm .
The authorized official title is Co-owner and has the following contact phone number (207) 205-5505.

The enumeration date for this NPI number is 4/15/2020 and was last updated on 4/15/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

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

NPI Synchronization or Removal

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