Provider Demographics
NPI:1386703304
Name:BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES OF STRAFFORD COUNTY, INC
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES OF STRAFFORD COUNTY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGDASARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-516-9522
Mailing Address - Street 1:113 CROSBY RD STE 1
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-4370
Mailing Address - Country:US
Mailing Address - Phone:603-516-9300
Mailing Address - Fax:603-740-0278
Practice Address - Street 1:113 CROSBY RD STE 1
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4370
Practice Address - Country:US
Practice Address - Phone:603-516-9300
Practice Address - Fax:603-740-0278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3072332Medicaid
NH3081134Medicaid
NH3081130Medicaid
NH3071508Medicaid
NH3082837Medicaid
NH3138445Medicaid