Organization
BAYCARE BEHAVIORAL HEALTH INC.
Active
Other names
Age 0-20 only
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNDA GORKEN (VICE PRESIDENT)
(727) 281-9390
Entity
Organization
Contact information
Practice address
15311 CORTEZ BLVD, BROOKSVILLE, FL 34613-6005
(752) 540-9335
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 281-9390
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060297311
—
FL
Enumeration date
10/05/2011
Last updated
02/12/2020
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