Organization
THE BAIR FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA EGBERT (CFO)
(724) 946-8711
Entity
Organization
Contact information
Practice address
15 CENTURY DR, GREENVILLE, SC 29607-1554
(864) 281-0058
(864) 281-1090
Mailing address
241 HIGH ST, NEW WILMINGTON, PA 16142-1116
(724) 946-8711
(724) 946-3249
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
SR-1002277001-CPA
SC
251S00000X
Community/Behavioral Health Agency
Primary
SR-1002277001-CPA
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CBT030
—
SC
05
—
CM1017
—
SC
Enumeration date
02/06/2006
Last updated
05/28/2014
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