SUMMIT ACHIEVEMENT OF STOW NPI 1497917371

NPI Information

  • NPI: 1497917371
  • Provider Name: SUMMIT ACHIEVEMENT OF STOW
  • Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
  • Specialization: Substance Abuse Treatment, Children
  • Entity Type: Organization
  • Doing Business As: SUMMIT TRAVERSE
  • CLIA Number: 20D2196994
  • Address: 69 DEER HILL RD
    STOW, ME
    ZIP 04037
  • Phone: (207) 697-2020

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NPI Details

SUMMIT ACHIEVEMENT OF STOW is a substance abuse treatment and children substance abuse rehabilitation facility in Stow, ME. The provider is a facility or distinct part of a facility for children 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. SUMMIT ACHIEVEMENT OF STOW NPI is 1497917371. The provider is registered as an organization entity type.
The provider Is Doing Business As Summit Traverse.

The provider's business location address is:

69 DEER HILL RD
STOW, ME
ZIP 04037-100
Phone: (207) 697-2020
Fax: (207) 697-2021

The provider's authorized official is Nicholas Ernst .
The authorized official title is Ceo, Clinical Director and has the following contact phone number (207) 697-2020.

The CLIA number assigned to this NPI record is 20D2196994 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 6/5/2024.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children216716MAINENo
23245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children216716MAINEYes

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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