Provider Demographics
NPI:1205924396
Name:BEHAVIORAL HEALTH CENTERS PA
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH CENTERS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MASOOD
Authorized Official - Middle Name:Z
Authorized Official - Last Name:REHMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-921-2792
Mailing Address - Street 1:6075 RAND BLVD
Mailing Address - Street 2:STE 1
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-5189
Mailing Address - Country:US
Mailing Address - Phone:941-921-2792
Mailing Address - Fax:941-925-2438
Practice Address - Street 1:6075 RAND BLVD
Practice Address - Street 2:STE 1
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-5189
Practice Address - Country:US
Practice Address - Phone:941-921-2792
Practice Address - Fax:941-925-2438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL33210OtherBCBS GRP#