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Organization

BAC DEVELOPMENTAL PROGRAM INC

Active
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Organization

BAC DEVELOPMENTAL PROGRAM INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLETTE LASHONDA CARRINGTON (OFFICE ADMINISTRATOR)
(336) 323-0066
Entity
Organization

Contact information

Practice address
2203 COLISEUM BLVD, GREENSBORO, NC 27403-3214
(336) 323-0066
Mailing address
PO BOX 16844, GREENSBORO, NC 27416-0844

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
02/16/2018
Last updated
02/16/2018
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