Organization Name: | BAYCARE BEHAVIORAL HEALTH INC. |
NPI Number: | 1669756987 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS LEONARDO (EXECUTIVE DIRECTOR) |
Mailing Address: | 15311 Cortez Blvd Brooksville |
State: | FL US |
Postal Code: | 346136005 |
Phone Number: | 7525409335 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2011 |
NPI Last Update Date: | 01/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |