Provider Demographics
NPI:1578560249
Name:WEST TREATMENT CENTER
Entity Type:Organization
Organization Name:WEST TREATMENT CENTER
Other - Org Name:WESTBRIDGE COMMUNITY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, LADC
Authorized Official - Phone:603-634-4446
Mailing Address - Street 1:1361 ELM ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1324
Mailing Address - Country:US
Mailing Address - Phone:603-634-4446
Mailing Address - Fax:603-634-4447
Practice Address - Street 1:1361 ELM ST
Practice Address - Street 2:SUITE 207
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1324
Practice Address - Country:US
Practice Address - Phone:603-634-4446
Practice Address - Fax:603-634-4447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH320800000X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Not Answered324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility