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Organization

BCC NATIONAL, LLC

Active
Other names
Beacon of Texas
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEON A. MARYLAND (CHIEF EXECUTIVE OFFICER)
(301) 222-7743
Entity
Organization

Contact information

Practice address
413 RAINIER ST, DESOTO, TX 75115-5028
(301) 631-4592
Mailing address
413 RAINIER ST, DESOTO, TX 75115-5028
(301) 631-4592

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
TX
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
TX

Other

Enumeration date
07/25/2017
Last updated
07/21/2022
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