| Baycare Life Management-new Port Richey | |
|
4411 Rowan Rd New Port Richey FL 34653-6198 | |
| (727) 841-4430 | |
| Not Available |
| Full Name | Baycare Life Management-new Port Richey |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4411 Rowan Rd, New Port Richey, Florida |
| Authorized Official Name and Position | Steve Mason (PRESIDENT) |
| Authorized Official Contact | 7278208002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baycare Life Management-new Port Richey Po Box 403974 Atlanta GA 30384-3974 Ph: (813) 852-3272 | Baycare Life Management-new Port Richey 4411 Rowan Rd New Port Richey FL 34653-6198 Ph: (727) 841-4430 |
| NPI Number | 1043472673 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 04/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043472673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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