Provider Demographics
NPI:1497114573
Name:BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES OF STRAFFORD COUNTY
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES OF STRAFFORD COUNTY
Other - Org Name:COMMUNITY PARTNERS
Other - Org Type:Doing Business As
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
Mailing Address - Street 2:SUITE ONE
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:603-740-9179
Practice Address - Street 1:113 CROSBY RD
Practice Address - Street 2:SUITE ONE
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:603-740-9179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3113399Medicaid