Organization
BDA COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY WESLEY REAVES JR. (CEO/OWNER)
(704) 708-6300
Entity
Organization
Contact information
Practice address
624 MATTHEWS MINT HILL RD, STE 112, MATTHEWS, NC 28105-1761
(704) 708-6300
(704) 708-6301
Mailing address
624 MATTHEWS - MINT HILL RD, STE 112, MATTHEWS, NC 28105-1775
(704) 708-6300
(704) 708-6301
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/23/2008
Last updated
01/15/2009
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