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Organization
BAYCARE BEHAVIORAL HEALTH INC.
Active
Organization
BAYCARE BEHAVIORAL HEALTH INC.
Active
Other names
CTC Case Mgmt
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNDA GORKEN (VICE PRESIDENT)
(727) 281-9390
Entity
Organization
Contact information
Practice address
8132 KING HELIE BLVD, NEW PORT RICHEY, FL 34653-1435
(727) 834-3959
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 281-9390
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060297324
—
FL
Enumeration date
06/15/2012
Last updated
02/12/2020
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