Baycare Behavioral Health INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Brooksville, FL. Organization (NPI-2).
NPI number1962785352
StatusActive
Last updated in NPPESFeb 12, 2020
Details
- NPI
- 1962785352
- Entity type
- Organization (NPI-2)
- Legal business name
- Baycare Behavioral Health INC.
- Organization subpart
- No
- Enumeration date
- Sep 22, 2011
- 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) | – | FL | Yes |
Practice location
15311 Cortez BlvdBrooksville, FL 34613-6005
Phone 752-540-9335
Mailing address
Po Box 100913Atlanta, GA 30384-3028
Authorized official
Lynda Gorken
Vice President
7272819390
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