Healthcare Provider Details

I. General information

NPI: 1447973557
Provider Name (Legal Business Name): BFCF INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2022
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 SPRING ST STE 312
NEW BEDFORD MA
02740-5952
US

IV. Provider business mailing address

106 SPRING ST STE 312
NEW BEDFORD MA
02740-5952
US

V. Phone/Fax

Practice location:
  • Phone: 774-202-9896
  • Fax: 774-202-9896
Mailing address:
  • Phone: 774-202-9896
  • Fax: 774-202-9896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State

VIII. Authorized Official

Name: THOMAS BURNS
Title or Position: CEO
Credential: LADC1, MHC
Phone: 508-283-0878