New Hampshire Detox

LBN: Bonfire Behavioral Health Llc
New Hampshire Detox is an health care organization with primary practice located at 2957 Main Street , Bethlehem NH 03574. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Bonfire Behavioral Health Llc can be contacted via phone (410) 807-8471, or through Brown, Kim via phone (870) 243-7219.

Contact Information

Primary practice address
2957 Main Street Bethlehem NH 03574
Phone: (410) 807-8471
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Kim
Phone: (870) 243-7219

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1073106274
LBN Legal business name Bonfire Behavioral Health Llc
DBA Doing business as New Hampshire Detox
Authorized official Brown, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2021
Last updated Jan 12th, 2024 - about 11 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073106274 NPPES
New Hampshire MEDICAID 3127887

Popular Providers