| Gulf Coast Jewish Family And Community Services | |
|
3142 Darlington Road Holiday FL 34691 | |
| (727) 430-3291 | |
| (727) 479-1248 |
| Full Name | Gulf Coast Jewish Family And Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3142 Darlington Road, Holiday, Florida |
| Authorized Official Name and Position | Carolyn Jimenez Yandek (DIRECTOR CREDENTIALING/BILLING) |
| Authorized Official Contact | 7274303291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Jewish Family And Community Services 14041 Icot Blvd Clearwater FL 33760-3702 Ph: (727) 450-7269 | Gulf Coast Jewish Family And Community Services 3142 Darlington Road Holiday FL 34691 Ph: (727) 430-3291 |
| NPI Number | 1245440874 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 02/18/2022 |
| Certification Date | 02/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245440874 | NPI | - | NPPES |
| 060569710 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 323P00000X | Psychiatric Residential Treatment Facility | 8618 (Florida) | Secondary |
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