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Organization
WOODS COMMUNITY SERVICES LLC
Active
Organization
WOODS COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS W. GRANT (CFO)
(215) 750-4210
Entity
Organization
Contact information
Practice address
28 FARMBROOK DR, LEVITTOWN, PA 19055-2101
(215) 750-4331
Mailing address
40 MARTIN GROSS DR, LANGHORNE, PA 19047-1616
(215) 750-4000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780920488
—
PA
Enumeration date
07/15/2021
Last updated
09/02/2021
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