Organization
BBAC MENTAL HEALTH PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND DANIEL THOMAS (CEO)
(240) 707-6068
Entity
Organization
Contact information
Practice address
808 INTERVAL RD, HAGERSTOWN, MD 21740-4118
(240) 707-6068
Mailing address
808 INTERVAL RD, HAGERSTOWN, MD 21740-4118
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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