Organization
BEHAVIORAL SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER J PERLEY (CRO)
(407) 830-6412
Entity
Organization
Contact information
Practice address
801 DOUGLAS AVE, SUITE 208, ALTAMONTE SPRINGS, FL 32714-5206
(407) 830-6412
(407) 830-8413
Mailing address
801 DOUGLAS AVE, SUITE 208, ALTAMONTE SPRINGS, FL 32714-5206
(407) 830-6412
(407) 830-8413
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
GH203
FL
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
272081
AMERIGROUP HMO MEDICAID
FL
01
—
281886
HARMONY HMO MEDICAID
FL
01
—
307161
UNITED HMO MEDICAID
FL
01
—
550531
VALUE OPTIONS, MEDICAID
FL
05
—
678222196
—
FL
05
—
678222198
—
FL
05
—
765763300
—
FL
01
—
GH203
STATE SAMH OFFICE
FL
Enumeration date
01/30/2007
Last updated
11/01/2016
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