Bcc National, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Desoto, TX. Organization (NPI-2).
NPI number1982127585
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982127585
- Entity type
- Organization (NPI-2)
- Legal business name
- Bcc National, LLC
- Organization subpart
- No
- Enumeration date
- Jul 25, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | TX | Yes |
| 251B00000X | Case Management | – | TX |
Other names
- Beacon Of Texas (Doing Business As)
Practice location
413 Rainier StDesoto, TX 75115-5028
Phone 301-631-4592
Mailing address
413 Rainier StDesoto, TX 75115-5028
Phone 301-631-4592
Authorized official
Leon A. Maryland
Chief Executive Officer
3012227743
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