Organization Name: | OPTIMUM BEHAVIORAL CARE, INC. |
NPI Number: | 1154618478 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANK MORELLI (PRESIDENT) |
Mailing Address: | 501 State Road 13 Saint Johns |
State: | FL US |
Postal Code: | 322592832 |
Phone Number: | 9044106324 |
Fax Number: | 8558233434 |
NPI Enumeration Date: | 07/07/2011 |
NPI Last Update Date: | 06/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |