Organization
UNIVERSITY BEHAVIORAL LLC
Active
Other names
University Behavioral Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
2500 DISCOVERY DRIVE, ORLANDO, FL 32826-3709
(407) 281-7000
(407) 282-7012
Mailing address
2500 DISCOVERY DRIVE, ORLANDO, FL 32826-3709
(407) 281-7000
(407) 282-7012
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
283Q00000X
Psychiatric Hospital
Primary
4442
FL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
4442
FL
323P00000X
Psychiatric Residential Treatment Facility
4442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
360086600
MEDICAID
FL
05
—
360086616
—
FL
05
—
360086617
—
FL
Enumeration date
06/13/2005
Last updated
02/23/2021
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