Provider Demographics
NPI:1255052171
Name:PARAMOUNT OPERATIONS BBD LLC
Entity type:Organization
Organization Name:PARAMOUNT OPERATIONS BBD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-917-0905
Mailing Address - Street 1:27 IROQUIS DR
Mailing Address - Street 2:
Mailing Address - City:MADISON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18444-4108
Mailing Address - Country:US
Mailing Address - Phone:856-418-7877
Mailing Address - Fax:
Practice Address - Street 1:7 ISLAND DOCK RD
Practice Address - Street 2:
Practice Address - City:HADDAM
Practice Address - State:CT
Practice Address - Zip Code:06438-1036
Practice Address - Country:US
Practice Address - Phone:321-917-0905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility