Outpatient Chemical Dependency Agency

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

265582 Issued in ME

Legal business name

OUTPATIENT CHEMICAL DEPENDENCY AGENCY

Practice address

185 Harlow St
Bangor, ME 04401-9101

Phone

(207) 990-1941

Fax

(207) 990-2601

NPI assigned

Jul 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Warren L Curtis, LADC

Title

Director

Phone

(207) 990-1941

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1275723371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 HARLOW STREET",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-990-1941",
            "fax_number": "207-990-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 HARLOW ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044019101",
            "telephone_number": "207-990-1941",
            "fax_number": "207-990-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT CHEMICAL DEPENDENCY AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "207-990-1941",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "ME",
            "license": "265582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Ouellette, DPT
• Diane F Ouellette, PMHNP
• Jonathan D Ouellette, PTA
• Lisa Marie Ouellette, LMSW-CC
• Paul Ouellette, PA
• Jill L Overlock, PT
• Mary Marshall Overstreet, MD
• Colleen M Owens, LCPC
• Adekunle Mojeed Owolabi, MD
• Paul Jeremy Oxman, LCSW

• Substance Abuse Rehabilitation Facility in Bangor, ME
• Providers in Bangor, ME by specialty
• Substance Abuse Rehabilitation Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.