BONNIE RAE CONDON
NPI 1629218409
Community Based Residential Treatment Facility, Mental Illness in Portage Lake, ME
- Organization
- Community Based Residential Treatment Fa...
About BONNIE RAE CONDON
This page provides the complete NPI Profile along with additional information for Bonnie Rae Condon, a provider established in Portage Lake, Maine operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1629218409 assigned on March 2009. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Bonnie Rae Condon (Care Provider)
- NPI
- 1629218409 Verify this NPI
- Provider Name
- BONNIE RAE CONDON
- Entity Type
- Organization
- Location Address
- 3101 PORTAGE RD PORTAGE LAKE, ME 04768
- Location Phone
- (207) 435-6726
- Location Fax
- (207) 435-6949
- Mailing Address
- 3101 PORTAGE RD PORTAGE LAKE, ME 04768
- Mailing Phone
- (207) 435-6726
- Mailing Fax
- (207) 435-6949
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-06-2009
- Last Update Date
- 03-06-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629218409, enumerated as an "organization" on March 06, 2009.
The provider is located at 3101 PORTAGE RD PORTAGE LAKE, ME 04768 and the phone number is (207) 435-6726.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
