CHARLOTTE WHITE CENTER NPI 1588737985

NPI Information

NPI: 1588737985
Provider Name: CHARLOTTE WHITE CENTER

Other Name: EXPANDING HORIZONS

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
487 GARLAND RD
DEXTER, ME
ZIP 04930
Phone: (207) 564-2464
Get Directions

CHARLOTTE WHITE CENTER is a residential treatment facility emotionally disturbed children in Dexter, ME. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CHARLOTTE WHITE CENTER NPI is 1588737985. The provider is registered as an organization entity type.
The provider Other Name Is Expanding Horizons.

The provider's business location address is:

487 GARLAND RD
DEXTER, ME
ZIP 04930-652
Phone: (207) 564-2464
Fax: (207) 564-2404

The provider's authorized official is Richard M Brown .
The authorized official title is Ceo and has the following contact phone number (207) 564-2464.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 11/12/2008.

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	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	164840100	MEDICAID	MAINE

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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