METRO TREATMENT OF MAINE LP (NPI# 1770799306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770799306 |
| Entity Type | Organization |
| Organization Name | METRO TREATMENT OF MAINE LP |
| Other Organization Name | PENOBSCOT CO METRO TREATMENT CENTER |
| Practice Address |
659 Hogan Rd Bangor ME 04401-3626 |
| Mailing Address |
2500 Maitland Center Parkway Suite 250 Maitland FL 32751-4174 |
| Practice Telephone | 2079730400 |
| Practice Fax Number | 2079731881 |
| Mailing Telephone | 4073517080 |
| Mailing Fax Number | 4073516930 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | MR. RODNEY WILLIAMS (CFO) |
| Authorized Official Telephone | 4073517080 |
| Is Organization Subpart | Y |
| Parent Organization Name | METRO TREATMENT OF MAINE LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 447141 | ME | Agencies |
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PH50001237 | ME | Suppliers |
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Penobscot Co Metro Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952733974 | Metro Treatment of Maine Lp | Community/Behavioral Health | 166 New County Road, Rockland, ME 04841-5320 | 2013-08-01 |
| Street Address |
659 HOGAN RD |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831710557 | Jonathan Mclain | Counselor | 659 Hogan Rd, Bangor, ME 04401-3626 | 2020-05-05 |
| 1740801463 | Henry M Welna | Counselor | 659 Hogan Rd, Bangor, ME 04401-3626 | 2020-05-05 |
| 1134760226 | Lisa Davis | Counselor | 659 Hogan Rd, Bangor, ME 04401-3626 | 2019-10-01 |
| 1144861238 | Jessica Marie Petrycki Dalessio | Counselor | 659 Hogan Rd, Bangor, ME 04401-3626 | 2019-10-01 |
| 1366091464 | Debra Miles | Counselor | 659 Hogan Rd, Bangor, ME 04401-3626 | 2019-09-11 |
| 1700281706 | Rachel Robinson Benson | Counselor | 659 Hogan Rd, Bangor, ME 04401-3626 | 2014-11-03 |
| 1750790861 | Jamie Mckay | Counselor | 659 Hogan Rd, Bangor, ME 04401-3626 | 2014-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285827527 | Discovery House Br, Inc. | Clinic/Center | 689 Odlin Rd., Bangor, ME 04401 | 2007-08-21 |
| 1952709529 | Carroll L Ackley | Clinic/Center | 74 Dowd Rd, Bangor, ME 04401-6700 | 2014-12-15 |
| 1568477297 | Acadia Healthcare, Inc | Clinic/Center | 268 Stillwater Avenue, Bangor, ME 04401 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740573161 | Merrimack River Medical Services | Clinic/Center | 18 Mollison Way, Lewiston, ME 04240-5811 | 2011-05-18 |
| 1184762247 | Cap Quality Care, Inc. | Clinic/Center | 1 Delta Dr, Suite A, Westbrook, ME 04092-4765 | 2007-02-02 |
| 1851390629 | Discovery House of Central Maine, Inc. | Clinic/Center | 40 Airport Road, Waterville, ME 04901-4502 | 2005-07-14 |
| 1922007798 | Center for Behavioral Health Me, Inc. | Clinic/Center | 400 Western Ave, South Portland, ME 04106-1704 | 2005-07-14 |
| 1053918128 | Discovery House Wc, Inc. | Clinic/Center | 11 North Street, Presque Isle, ME 04769 | 2020-10-02 |
| 1750691184 | Crc Recovery Inc | Clinic/Center | 44 School St, Warren, ME 04864-4259 | 2010-10-19 |
| 1912233826 | Merrimack River Medical Services | Clinic/Center | 2300 Congress St, Portland, ME 04102-1908 | 2009-10-28 |
Please comment or provide details below to improve the information on METRO TREATMENT OF MAINE LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.