Organization
BONFIRE BEHAVIORAL HEALTH LLC
Active
Other names
New Hampshire Detox
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BROWN (DIRECTOR OF COMPLIANCE)
(870) 243-7219
Entity
Organization
Contact information
Practice address
2957 MAIN STREET, BETHLEHEM, NH 03574
(410) 807-8471
Mailing address
10461 MILL RUN CIR STE 810, OWINGS MILLS, MD 21117-5549
(410) 807-8471
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3127887
—
NH
Enumeration date
02/18/2021
Last updated
01/12/2024
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