Organization
BYBROOK BEHAVIORAL HEALTH SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROAN EMANUEL FORGIE PMHNP-BC (PRESIDENT)
(646) 591-4970
Entity
Organization
Contact information
Practice address
3065 DANIELS RD # 1077, WINTER GARDEN, FL 34787-7002
(352) 661-1677
(407) 278-4062
Mailing address
3065 DANIELS RD # 1077, WINTER GARDEN, FL 34787-7002
(352) 661-1677
(407) 278-4062
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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