Organization
GAIN BEHAVIOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNE SIMON (CEO)
(845) 521-5830
Entity
Organization
Contact information
Practice address
145 36TH AVE NE, SAINT PETERSBURG, FL 33704-1433
(845) 521-5830
Mailing address
145 36TH AVE NE, SAINT PETERSBURG, FL 33704-1433
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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