Provider Demographics
NPI:1184762247
Name:CAP QUALITY CARE, INC.
Entity type:Organization
Organization Name:CAP QUALITY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SKILLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-310-8304
Mailing Address - Street 1:1 DELTA DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-4765
Mailing Address - Country:US
Mailing Address - Phone:207-856-7227
Mailing Address - Fax:207-856-2112
Practice Address - Street 1:1 DELTA DR
Practice Address - Street 2:SUITE A
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-4765
Practice Address - Country:US
Practice Address - Phone:207-856-7227
Practice Address - Fax:207-856-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME135100000Medicaid