Organization
YORKSHIRE MENTAL HEALTH ENTERPRISES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS J RAIMONDO MD (MANAGER)
(386) 672-4222
Entity
Organization
Contact information
Practice address
595 W GRANADA BLVD, SUITE 2E, ORMOND BEACH, FL 32174-5190
(386) 672-4222
(386) 672-8855
Mailing address
595 W GRANADA BLVD, SUITE 2E, ORMOND BEACH, FL 32174-5190
(386) 672-4222
(386) 672-8855
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084F0202X
Forensic Psychiatry Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/31/2006
Last updated
10/11/2012
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