Provider Demographics
NPI:1750822276
Name:BEFORE AND AFTER BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:BEFORE AND AFTER BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:LOREAL
Authorized Official - Last Name:DUMAS
Authorized Official - Suffix:
Authorized Official - Credentials:BSW, MA, PHD, CLC
Authorized Official - Phone:910-573-9977
Mailing Address - Street 1:121 WILEY DR
Mailing Address - Street 2:
Mailing Address - City:CANDOR
Mailing Address - State:NC
Mailing Address - Zip Code:27229-9097
Mailing Address - Country:US
Mailing Address - Phone:910-573-9977
Mailing Address - Fax:
Practice Address - Street 1:121 WILEY DR
Practice Address - Street 2:
Practice Address - City:CANDOR
Practice Address - State:NC
Practice Address - Zip Code:27229-9097
Practice Address - Country:US
Practice Address - Phone:910-573-9977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness