Provider Demographics
NPI:1063675189
Name:BH HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:BH HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BABAK
Authorized Official - Middle Name:
Authorized Official - Last Name:IMANOEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:410-871-3005
Mailing Address - Street 1:450 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5540
Mailing Address - Country:US
Mailing Address - Phone:410-871-3005
Mailing Address - Fax:443-293-8711
Practice Address - Street 1:450 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5540
Practice Address - Country:US
Practice Address - Phone:410-871-3005
Practice Address - Fax:443-293-8711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2012-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD903435261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone