Organization Name: | FLORIDA COMMUNITY BEHAVIORAL CARE INC |
NPI Number: | 1316199029 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GENER BROJAN (PRESIDENT/CEO) |
Mailing Address: | 6610 Embassy Blvd Suite A Port Richey |
State: | FL US |
Postal Code: | 346684897 |
Phone Number: | 7278492255 |
Fax Number: | 7278492202 |
NPI Enumeration Date: | 10/14/2008 |
NPI Last Update Date: | 01/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 7933 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |