| Organization Name: | BAKER COMMUNITY COUNSELING SERVICES, INC. |
| NPI Number: | 1083678700 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN CHRISTOPHER PADGETT (CLINICAL DIRECTOR) |
| Mailing Address: | 213 E Macclenny Ave Macclenny |
| State: | FL US |
| Postal Code: | 320632121 |
| Phone Number: | 9042590264 |
| Fax Number: | 9042590265 |
| NPI Enumeration Date: | 04/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 0402AD048000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |