NPI 1083127997
Bac Developmental Program INC
Practice location
- Address
- 2203 Coliseum Blvd, Greensboro, NC 27403-3214
- Phone
- (336) 268-7089
Authorised official
- Name
- Dominick Earl Mitchell
- Title
- Asst Program Manager
- Phone
- (336) 268-7089
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1083127997
- Entity type
- Organization
- NPI issued
- 14 Nov 2017
- Record last updated
- 14 Nov 2017
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.