Organization
SUNCOAST BEHAVIORAL LLC
Active
Other names
Sun Coast Behavioral Institute
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF TURICZEK (CEO)
(813) 677-6700
Entity
Organization
Contact information
Practice address
12012 BOYETTE RD, RIVERVIEW, FL 33569-5631
(813) 677-6700
Mailing address
12012 BOYETTE RD, RIVERVIEW, FL 33569-5631
(813) 677-6700
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/09/2011
Last updated
06/15/2011
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