Coastal Behavioral Healthcare, INC.
Community/Behavioral Health in Sarasota, FL. Organization (NPI-2).
NPI number1598726648
StatusActive
Last updated in NPPESSep 9, 2020
Details
- NPI
- 1598726648
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Behavioral Healthcare, INC.
- Organization subpart
- No
- Enumeration date
- Mar 29, 2006
- Certification date
- Sep 9, 2020
- Last updated
- Sep 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | 1423 | FL | |
| 323P00000X | Psychiatric Residential Treatment Facility | – | – |
Practice location
4579 Northgate CtSarasota, FL 34234-2124
Phone 941-927-8900 · Fax 941-308-2931
Mailing address
4579 Northgate CtSarasota, FL 34234-2124
Phone 941-366-5333 · Fax 941-927-6315
Authorized official
Carol Habermehl
Billing/Claims/Managedcare Director
9413312530
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