Organization · Type 2 NPI

Mainegeneral Health

Substance Abuse Rehabilitation Facility · Waterville, ME

NPI number 1164583100 Active

Practice location

10 Water St, Suite 306
Waterville, ME 04901-6559

Fax (207) 861-3470

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	230503 (ME)

Substance Abuse Rehabilitation Facility: 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.

17 other providers at this address

NPI record

NPI: 1164583100
Entity type: Organization (Type 2)
Issued: Dec 13, 2006
Last updated: Aug 23, 2019
Status: Active

Other names

<unavail>
Healthreach Network · doing business as
Mainegeneral Community Care Residential Services · doing business as
MGMC Residential Services · other name

Authorized official

Gregory Pizzo
Director of Finance
(207) 861-3451

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164583100

Mainegeneral Health's National Provider Identifier is 1164583100, issued on Dec 13, 2006. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Waterville, ME. The record was last updated on Aug 23, 2019.