Organization
WOODSIDE RESIDENTIAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA COLLINS DSP (ADMINISTRATOR)
(207) 737-2443
Entity
Organization
Contact information
Practice address
54 BARROWS DR, TOPSHAM, ME 04086-1324
(207) 725-9330
(207) 725-9330
Mailing address
814 ALEXANDER REED RD, RICHMOND, ME 04357-3411
(207) 737-2443
(207) 737-2443
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
ALLS 3081
ME
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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