JAMIE RACINE NPI 1235700709

NPI Information

  • NPI: 1235700709
  • Provider Name: JAMIE RACINE
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: EMBRACE THE EXTRA
  • Address: 28 STATE ST STE 5
    GORHAM, ME
    ZIP 04038
  • Phone: (207) 894-4278

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NPI Details

JAMIE RACINE is a mental health (including community mental health center) clinic center in Gorham, ME. JAMIE RACINE NPI is 1235700709. The provider is registered as an organization entity type.
The provider Is Doing Business As Embrace The Extra.

The provider's business location address is:

28 STATE ST STE 5
GORHAM, ME
ZIP 04038-147
Phone: (207) 894-4278

The provider's authorized official is Jamie Racine .
The authorized official title is Owner and has the following contact phone number (207) 894-4278.

The enumeration date for this NPI number is 7/6/2021 and was last updated on 7/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
2251S00000XCommunity/Behavioral HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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