NPI 1073106274
Bonfire Behavioral Health LLC
Practice location
- Address
- 2957 Main Street, Bethlehem, NH 03574
- Phone
- (410) 807-8471
- Mailing address
- 10461 Mill Run Cir STE 810, Owings Mills, MD 21117-5549
Authorised official
- Name
- Kim Brown
- Title
- Director of Compliance
- Phone
- (870) 243-7219
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1073106274
- Entity type
- Organization
- NPI issued
- 18 Feb 2021
- Record last updated
- 12 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.