| Gulf Coast Jewish Family And Community Services, Inc. | |
|
5623 Us Highway 19 Suite 304 New Port Richey FL 34652-3700 | |
| (727) 937-2813 | |
| (727) 749-1248 |
| Full Name | Gulf Coast Jewish Family And Community Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5623 Us Highway 19, New Port Richey, Florida |
| Authorized Official Name and Position | Carla J Washinko (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7274791800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Jewish Family And Community Services, Inc. 14041 Icot Blvd Clearwater FL 33760-3702 Ph: (727) 450-7269 | Gulf Coast Jewish Family And Community Services, Inc. 5623 Us Highway 19 Suite 304 New Port Richey FL 34652-3700 Ph: (727) 937-2813 |
| NPI Number | 1891058616 |
|---|---|
| Provider Enumeration Date | 06/18/2012 |
| Last Update Date | 04/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891058616 | NPI | - | NPPES |
| 0605697- | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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