Provider Demographics
NPI:1184410292
Name:THE TOWN FARM
Entity type:Organization
Organization Name:THE TOWN FARM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLDUC
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:207-754-9234
Mailing Address - Street 1:249 MERROW RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-8319
Mailing Address - Country:US
Mailing Address - Phone:207-754-9234
Mailing Address - Fax:
Practice Address - Street 1:344 ROUTE 202
Practice Address - Street 2:
Practice Address - City:GREENE
Practice Address - State:ME
Practice Address - Zip Code:04236-4208
Practice Address - Country:US
Practice Address - Phone:207-754-9234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children