Provider Demographics
NPI:1255403226
Name:BJ ASSOCIATES
Entity type:Organization
Organization Name:BJ ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BAFFOUR
Authorized Official - Middle Name:EDUSEI
Authorized Official - Last Name:OPOKU
Authorized Official - Suffix:
Authorized Official - Credentials:MAT
Authorized Official - Phone:757-282-6904
Mailing Address - Street 1:3006 CAPE HENRY AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23509-2219
Mailing Address - Country:US
Mailing Address - Phone:757-282-6904
Mailing Address - Fax:757-282-6905
Practice Address - Street 1:3006 CAPE HENRY AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23509-2219
Practice Address - Country:US
Practice Address - Phone:757-282-6904
Practice Address - Fax:757-282-6905
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BJ ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-15
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VASS-293-06322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children