Provider Demographics
NPI:1508037979
Name:DIRECTION BEHAVIORAL HEALTH ASSOCIATES, LLC
Entity Type:Organization
Organization Name:DIRECTION BEHAVIORAL HEALTH ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DUNCAN
Authorized Official - Middle Name:YNGVE
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-880-8188
Mailing Address - Street 1:5 PINE STREET EXT
Mailing Address - Street 2:#6 MILL ANNEX, UNIT B
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3248
Mailing Address - Country:US
Mailing Address - Phone:603-880-8188
Mailing Address - Fax:603-880-9188
Practice Address - Street 1:5 PINE STREET EXT
Practice Address - Street 2:#6 MILL ANNEX, UNIT B
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3248
Practice Address - Country:US
Practice Address - Phone:603-880-8188
Practice Address - Fax:603-880-9188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health