Elmhurst, Inc

Organization Active NPI Community/Behavioral Health Agency · Bath, ME

NPI 1891876751 · NPPES record last updated May 17, 2016

Key facts

NPI
1891876751
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
ELMHURST, INC
Practice address
400 Centre St
Bath, ME 04530-2007
Phone
(207) 443-9783
Fax
(207) 443-8887
NPI assigned
Oct 18, 2006
Organization subpart
No

Authorized official

Name
Alex Kautzman
Title
Executive Director
Phone
(207) 443-9783

National Provider Directory

Locations

400 Centre St
Bath, ME 04530
Phone (207) 443-9783

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Yes
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X

Addresses

Primary practice location

400 Centre St
Bath, ME 04530-2007

Mailing address

400 Centre St
Bath, ME 04530-2007
Phone (207) 443-9783

Other identifiers

IdentifierTypeStateIssuer
103060301MedicaidME
103060303MedicaidME
103060000MedicaidME
103060304MedicaidME
103060200MedicaidME
103060100MedicaidME
103060300MedicaidME
103060202MedicaidME
103060302MedicaidME

Other providers in Bath, ME

All providers in Bath, ME · Community/Behavioral Health Agency in Maine

Sources for this page

Verify at the official NPI Registry.