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BAC DEVELOPMENTAL PROGRAM INC NPI 1093215972


NPI Information

NPI: 1093215972
Provider Name: BAC DEVELOPMENTAL PROGRAM INC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
2203 COLISEUM BLVD
GREENSBORO, NC
ZIP 27403
Phone: (336) 323-0066
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BAC DEVELOPMENTAL PROGRAM INC is a developmental disabilities clinic center in Greensboro, NC. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). BAC DEVELOPMENTAL PROGRAM INC NPI is 1093215972. The provider is registered as an organization entity type.

The provider's business location address is:

2203 COLISEUM BLVD
GREENSBORO, NC
ZIP 27403-214
Phone: (336) 323-0066

The provider's authorized official is Willette Lashonda Carrington .
The authorized official title is Office Administrator and has the following contact phone number (336) 323-0066.

The enumeration date for this NPI number is 2/16/2018 and was last updated on 2/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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