Enso Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ENSO RECOVERY LLC

Practice address

90 Western Ave
Augusta, ME 04330-7270

Phone

(207) 245-1800

NPI assigned

Oct 21, 2022

Last updated

Oct 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dipak Dattani

Title

Director

Phone

(207) 245-1800

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Megan Augusto

  • Addiction (Substance Use Disorder) Counselor
  • Augusta, ME
  • NPI 1841063930
  NPD
• Kristina Jade Colby, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Augusta, ME
  • NPI 1508638016
  NPD
• Elizabeth Rich-Colton, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Augusta, ME
  • NPI 1164295648
  NPD

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1639896533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WESTERN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307270",
            "telephone_number": "207-245-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WESTERN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307270",
            "telephone_number": "207-245-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSO RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "DATTANI",
        "authorized_official_first_name": "DIPAK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "207-245-1800"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Antoinette Carla Ervin, LSW-C
• Erwin B Seywerd, MD (Kennebec Otolaryngology)
• Navid Eslami, MD
• Eugene H. Glad D.M.D. P.a.

• Substance Use Disorder Rehabilitation Clinic/Center in Augusta, ME
• Providers in Augusta, ME by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.