| Trident Behavioral Healthcare, Inc. | |
|
6133 Us Highway 19 New Port Richey FL 34652-2527 | |
| (727) 842-6900 | |
| (727) 842-6902 |
| Full Name | Trident Behavioral Healthcare, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6133 Us Highway 19, New Port Richey, Florida |
| Authorized Official Name and Position | Theodore Kenneth Ferguson (PRESIDENT) |
| Authorized Official Contact | 3522320839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trident Behavioral Healthcare, Inc. 6131 Us Highway 19 New Port Richey FL 34652-2527 Ph: (727) 842-6900 | Trident Behavioral Healthcare, Inc. 6133 Us Highway 19 New Port Richey FL 34652-2527 Ph: (727) 842-6900 |
| NPI Number | 1922358845 |
|---|---|
| Provider Enumeration Date | 09/18/2012 |
| Last Update Date | 09/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922358845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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