| Bda Community Services, Inc | |
|
624 Matthews Mint Hill Rd Ste 112 Matthews NC 28105-1761 | |
| (704) 708-6300 | |
| (704) 708-6301 |
| Full Name | Bda Community Services, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 624 Matthews Mint Hill Rd, Matthews, North Carolina |
| Authorized Official Name and Position | Timothy Wesley Reaves (CEO/OWNER) |
| Authorized Official Contact | 7047086300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bda Community Services, Inc 624 Matthews - Mint Hill Rd Ste 112 Matthews NC 28105-1775 Ph: (704) 708-6300 | Bda Community Services, Inc 624 Matthews Mint Hill Rd Ste 112 Matthews NC 28105-1761 Ph: (704) 708-6300 |
| NPI Number | 1134372956 |
|---|---|
| Provider Enumeration Date | 10/23/2008 |
| Last Update Date | 01/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134372956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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