Organization Name: | ASCENTRIA COMMUNITY SERVICES, INC |
NPI Number: | 1174769384 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA BOVILL (CEO AND PRESIDENT) |
Mailing Address: | 261 Sheep Davis Road Suite A-1 Concord |
State: | NH US |
Postal Code: | 03301 |
Phone Number: | 6032248111 |
Fax Number: | 6032240798 |
NPI Enumeration Date: | 12/18/2008 |
NPI Last Update Date: | 10/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |