| Organization Name: | YORKSHIRE MENTAL HEALTH ENTERPRISES PA |
| NPI Number: | 1003821497 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LOUIS J RAIMONDO (MANAGER) |
| Mailing Address: | 595 W Granada Blvd Suite 2e Ormond Beach |
| State: | FL US |
| Postal Code: | 321745190 |
| Phone Number: | 3866724222 |
| Fax Number: | 3866728855 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 10/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |