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7809 Massachusetts Ave New Port Richey FL 34653-3028 | |
| (727) 841-4200 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7809 Massachusetts Ave, New Port Richey, Florida |
| Authorized Official Name and Position | Lynda Gorken (VICE-PRESIDENT) |
| Authorized Official Contact | 7272819390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2995 Drew St 2nd Floor Clearwater FL 33759-3012 Ph: (727) 281-9065 | 7809 Massachusetts Ave New Port Richey FL 34653-3028 Ph: (727) 841-4200 |
| NPI Number | 1508864521 |
|---|---|
| Provider Enumeration Date | 07/13/2005 |
| Last Update Date | 06/22/2024 |
| Certification Date | 06/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508864521 | NPI | - | NPPES |
| 060297313 | Medicaid | FL |
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