Bac Developmental Program INC
NPI #1083127997 in Greensboro, North Carolina
Provider Information
- NPI Number
- 1083127997
- Entity Type
- Organization
- Organization Name
- Bac Developmental Program INC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Nov 14, 2017
- Last Updated
- Nov 14, 2017
Practice Location
- Address
- 2203 COLISEUM BLVD
- City
- Greensboro
- State
- North Carolina
- ZIP Code
- 27403-3214
- Phone
- (336) 268-7089
Authorized Official
- Name
- DOMINICK EARL MITCHELL
- Title
- ASST PROGRAM MANAGER
- Phone
- (336) 268-7089
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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