| Pur Behavioral Health Llc | |
|
1406 16th St Vero Beach FL 32960-3625 | |
| (772) 584-3692 | |
| Not Available |
| Full Name | Pur Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 1406 16th St, Vero Beach, Florida |
| Authorized Official Name and Position | Kenneth Cooper (CEO) |
| Authorized Official Contact | 7729719197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pur Behavioral Health Llc 1406 16th St Vero Beach FL 32960-3625 Ph: () - | Pur Behavioral Health Llc 1406 16th St Vero Beach FL 32960-3625 Ph: (772) 584-3692 |
| NPI Number | 1578346227 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 08/16/2023 |
| Certification Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578346227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
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