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Organization

Day One

NPI Record: ActiveSubstance Abuse Rehabilitation Facility — Substance Abuse Treatment, Children
NPI1164484093
Windham, Maine

Provider's NPPES record last updated: April 11, 2025

Overview

Entity Type
Organization
NPI
1164484093
Primary Specialty
Substance Abuse Rehabilitation Facility — Substance Abuse Treatment, Children
Practice Location
Windham, Maine
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 5:39 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Substance Abuse Rehabilitation Facility

    Substance Abuse Treatment, Children

    Residential Treatment Facilities

    Primary

    A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

    Taxonomy code 3245S0500X
  • Counselor

    Behavioral Health & Social Service Providers

    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

    Taxonomy code 101Y00000X
  • Counselor

    Addiction (Substance Use Disorder)

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YA0400X
  • Social Worker

    Clinical

    Behavioral Health & Social Service Providers

    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

    Taxonomy code 1041C0700X
  • Psychiatry & Neurology

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

    Taxonomy code 2084A0401X
  • Clinic/Center

    Adolescent and Children Mental Health

    Ambulatory Health Care Facilities

    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

    Taxonomy code 261QM0855X
  • Clinic/Center

    Rehabilitation, Substance Use Disorder

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QR0405X
  • Clinical Nurse Specialist

    Psychiatric/Mental Health

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 364SP0808X

Provider-Reported License Information

Substance Abuse Rehabilitation Facility (Maine)
212936
Clinic/Center (Maine)
227222
Clinic/Center (Maine)
221141
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

86 Tandberg Trl

Windham, Maine 04062-5841

Phone: (207) 893-0386

Additional Practice Location

15 York St Unit 201

Biddeford, Maine 04005-5531

Phone: (207) 893-0386

Fax: (207) 893-2086

Record Information

Enumeration Date
April 5, 2006
Provider's NPPES Record Last Updated
April 11, 2025
Certification Date
April 11, 2025
NPISignal NPPES Dataset
August 2026

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