Organization
WOODFORDS FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH THIBODEAU (REVENUE MANAGER)
(207) 878-9663
Entity
Organization
Contact information
Practice address
15 SAUNDERS WAY STE 700, WESTBROOK, ME 04092-4834
(207) 878-9663
(207) 878-9663
Mailing address
15 SAUNDERS WAY STE 900, WESTBROOK, ME 04092-4836
(207) 878-9663
(207) 878-2259
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
494640
ME
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104090000
—
ME
05
—
104090100
—
ME
05
—
104090102
—
ME
05
—
104090200
—
ME
05
—
104090201
—
ME
05
—
104090302
—
ME
05
—
104090303
—
ME
05
—
104090400
—
ME
05
—
104090401
—
ME
05
—
431775100
—
ME
Enumeration date
12/08/2006
Last updated
11/25/2024
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