Organization
BAYCARE BEHAVIORAL HEALTH
Active
Other names
SIPP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNDA GORKEN (VICE PRESIDENT)
(727) 281-9390
Entity
Organization
Contact information
Practice address
8132 KING HELIE BLVD, NEW PORT RICHEY, FL 34653-1435
(727) 841-4207
Mailing address
2995 DREW ST, 2ND FLOOR, CLEARWATER, FL 33759-3012
(727) 281-9065
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003300300
—
FL
Enumeration date
10/05/2011
Last updated
05/30/2024
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