Organization
GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC.
Active
Organization
GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA WASHINKO CPA (CHIEF FINANCIAL OFFICER)
(727) 479-1800
Entity
Organization
Contact information
Practice address
14041 ICOT BLVD, CLEARWATER, FL 33760-3702
(727) 450-7269
(727) 479-1248
Mailing address
14041 ICOT BLVD, CLEARWATER, FL 33760-3702
(727) 450-7269
(727) 479-1248
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006356700
MANAGED CARE PROVIDER ID
FL
05
—
029915400
—
FL
05
—
029915401
—
FL
05
—
060569700
—
FL
05
—
060569701
—
FL
05
—
060569703
—
FL
05
—
060569709
—
FL
05
—
060569710
—
FL
05
—
060569714
—
FL
05
—
060569715
—
FL
01
—
1130180
PSYCHCARE
—
01
—
177849
MHN NETWORK
FL
01
—
224612000
MAGELLAN
FL
01
—
234010
AMERIGROUP
FL
01
—
7812787
AETNA
FL
01
—
Z105Y
BCBS OF FLORIDA
FL
Enumeration date
10/12/2006
Last updated
04/30/2014
Update your record
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