MR. William Raymond Witham SR.

NPI #1588803688 in Sidney, Maine

Provider Information

NPI Number: 1588803688
Entity Type: Individual
Name: MR. William Raymond Witham SR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 12, 2009
Last Updated: Jul 24, 2009

Practice Location

Address: 198 SHEPHERD RD
City: Sidney
State: Maine
ZIP Code: 04330-2332
Phone: (207) 547-3425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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