Organization
BAYCARE BEHAVIORAL HEALTH INC.
Active
Other names
Magnolia - CMHC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNDA GORKEN (VICE PRESIDENT)
(727) 281-9390
Entity
Organization
Contact information
Practice address
7809 MASSACHUSETTS AVE, NEW PORT RICHEY, FL 34653-3028
(727) 841-4200
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 281-9390
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060297300
—
FL
Enumeration date
10/05/2011
Last updated
02/12/2020
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