Organization
MERIDIAN BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN COHN (SVP / CHIEF PERFORMANCE OFFICER)
(352) 374-5600
Entity
Organization
Contact information
Practice address
406 10TH AVE NW, JASPER, FL 32052-5844
(386) 792-1338
Mailing address
1565 SW WILLISTON RD, GAINESVILLE, FL 32608-4044
(352) 374-5600
(352) 244-0280
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360344009
—
FL
Enumeration date
05/14/2008
Last updated
10/21/2019
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