Woodside Residential, INC

NPI #1730414921 in Topsham, Maine

Provider Information

NPI Number: 1730414921
Entity Type: Organization
Organization Name: Woodside Residential, INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 6, 2009
Last Updated: Oct 6, 2009

Practice Location

Address: 54 BARROWS DR
City: Topsham
State: Maine
ZIP Code: 04086-1324
Phone: (207) 725-9330

Authorized Official

Name: MS. LINDA COLLINS, DSP
Title: ADMINISTRATOR
Phone: (207) 737-2443

Specialties & Taxonomy Codes

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

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