Healthcare Provider Details
I. General information
NPI: 1841641750
Provider Name (Legal Business Name): BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES OF STRAFFORD COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2016
Last Update Date: 12/22/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25 OLD DOVER RD
ROCHESTER NH
03867-3464
US
IV. Provider business mailing address
113 CROSBY RD
DOVER NH
03820-4370
US
V. Phone/Fax
- Phone: 603-516-9522
- Fax: 603-740-9179
- Phone: 603-516-9522
- Fax: 603-740-9179
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUZANNE
BAGDASARIAN
Title or Position: CFO
Credential:
Phone: 603-516-9522