| Clay Behavioral Health Center Inc | |
|
3292 County Road 220 Middleburg FL 32068-4357 | |
| (904) 291-5561 | |
| Not Available |
| Full Name | Clay Behavioral Health Center Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3292 County Road 220, Middleburg, Florida |
| Authorized Official Name and Position | Tina Marie Swathwood (FINANCE DIRECTOR) |
| Authorized Official Contact | 9042785644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clay Behavioral Health Center Inc 1726 Kingsley Ave Ste 2 Orange Park FL 32073-4411 Ph: (904) 278-5644 | Clay Behavioral Health Center Inc 3292 County Road 220 Middleburg FL 32068-4357 Ph: (904) 291-5561 |
| NPI Number | 1437230398 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 01/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437230398 | NPI | - | NPPES |
| 060411902 | Medicaid | FL | |
| X0526 | Other | FL | BCBS GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0410AD931700 (Florida) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 060411902 (Florida) | Primary |
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