| Behavioral Support Services, Inc. | |
|
801 Douglas Ave Suite 208 Altamonte Springs FL 32714-5206 | |
| (407) 830-6412 | |
| (407) 830-8413 |
| Full Name | Behavioral Support Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 801 Douglas Ave, Altamonte Springs, Florida |
| Authorized Official Name and Position | Peter J Perley (CRO) |
| Authorized Official Contact | 4078306412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Support Services, Inc. 801 Douglas Ave Suite 208 Altamonte Springs FL 32714-5206 Ph: (407) 830-6412 | Behavioral Support Services, Inc. 801 Douglas Ave Suite 208 Altamonte Springs FL 32714-5206 Ph: (407) 830-6412 |
| NPI Number | 1922145184 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 11/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922145184 | NPI | - | NPPES |
| 550531 | Other | FL | VALUE OPTIONS, MEDICAID |
| 678222196 | Medicaid | FL | |
| 307161 | Other | FL | UNITED HMO MEDICAID |
| 678222198 | Medicaid | FL | |
| 765763300 | Medicaid | FL | |
| 272081 | Other | FL | AMERIGROUP HMO MEDICAID |
| 281886 | Other | FL | HARMONY HMO MEDICAID |
| GH203 | Other | FL | STATE SAMH OFFICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | GH203 (Florida) | Secondary |
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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