Provider Demographics
NPI:1205268893
Name:BEHAVIORAL HEALTH NAVIGATORS CENTER
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH NAVIGATORS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:BERNICE
Authorized Official - Middle Name:DELORES
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-532-5571
Mailing Address - Street 1:3819 STRATFORD PARK DR SW APT 4
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-1439
Mailing Address - Country:US
Mailing Address - Phone:443-761-0198
Mailing Address - Fax:877-241-1004
Practice Address - Street 1:3819 STRATFORD PARK DR SW APT 4
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-1439
Practice Address - Country:US
Practice Address - Phone:443-761-0198
Practice Address - Fax:877-241-1004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2022-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity HealthGroup - Single Specialty