Organization · NPI-2
Baycare Behavioral Health INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) · New Port Richey, FL
NPI number1669734307
StatusActive
Last updated in NPPESFeb 12, 2020
Details
- NPI
- 1669734307
- Entity type
- Organization (NPI-2)
- Legal business name
- Baycare Behavioral Health INC.
- Organization subpart
- No
- Enumeration date
- Jun 8, 2012
- Certification date
- Feb 12, 2020
- Last updated
- Feb 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Children'S Treatment Center (Other Name)
Practice location
8132 King Helie BlvdNew Port Richey, FL 34653-1435
Phone 727-834-3959
Mailing address
2995 Drew St Fl 2Clearwater, FL 33759-3012
Phone 727-281-9390 · Fax 813-635-2613
Authorized official
Lynda Gorken
Vice President
7272819390
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