Organization · NPI-2

Baycare Behavioral Health INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) · New Port Richey, FL

NPI number1225312549
StatusActive
Last updated in NPPESFeb 12, 2020

Details

NPI
1225312549
Entity type
Organization (NPI-2)
Legal business name
Baycare Behavioral Health INC.
Organization subpart
No
Enumeration date
Oct 5, 2011
Certification date
Feb 12, 2020
Last updated
Feb 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)–FLYes

Other names

  • Magnolia - Cmhc (Other Name)

Practice location

7809 Massachusetts Ave
New Port Richey, FL 34653-3028

Phone 727-841-4200

Mailing address

2995 Drew St Fl 2
Clearwater, FL 33759-3012

Phone 727-281-9390 · Fax 813-635-2613

Authorized official

Lynda Gorken
Vice President
7272819390

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