BANGOR DETOX AND RECOVERY NPI 1447915392

NPI Information

NPI: 1447915392
Provider Name: BANGOR DETOX AND RECOVERY
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
80 EXCHANGE ST STE 502
BANGOR, ME
ZIP 04401
Phone: (207) 408-7649
Get Directions

BANGOR DETOX AND RECOVERY is a rehabilitation and substance use disorder clinic center in Bangor, ME. BANGOR DETOX AND RECOVERY NPI is 1447915392. The provider is registered as an organization entity type.

The provider's business location address is:

80 EXCHANGE ST STE 502
BANGOR, ME
ZIP 04401-914
Phone: (207) 408-7649

The provider's authorized official is Nathan Cermelj .
The authorized official title is Owner And Director and has the following contact phone number (207) 408-7649.

The enumeration date for this NPI number is 11/5/2021 and was last updated on 3/7/2022.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »