Organization
DAY ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL GOODINE (BILLING)
(207) 893-0386
Entity
Organization
Contact information
Practice address
86 TANDBERG TRL, WINDHAM, ME 04062-5841
(207) 893-0386
(207) 893-0286
Mailing address
PO BOX 1360, WINDHAM, ME 04062-1360
(207) 893-0386
(207) 893-2086
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
227222
ME
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
221141
ME
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
212936
ME
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164484093
—
ME
Enumeration date
04/05/2006
Last updated
04/11/2025
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