Bac Health Services LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Laurel, MD. Organization (NPI-2).
NPI number1356033609
StatusActive
Last updated in NPPESNov 6, 2024
Details
- NPI
- 1356033609
- Entity type
- Organization (NPI-2)
- Legal business name
- Bac Health Services LLC
- Organization subpart
- No
- Enumeration date
- May 24, 2023
- Certification date
- Nov 6, 2024
- Last updated
- Nov 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
14300 Cherry Lane Ct Ste 108Laurel, MD 20707-4978
Phone 240-713-8080 · Fax 240-993-5700
Mailing address
14300 Cherry Lane Ct Ste 108Laurel, MD 20707-4978
Phone 240-713-8080 · Fax 240-993-5700
Authorized official
Josephine Tafie
Provider
2405659022
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