Provider Demographics
NPI:1043530629
Name:PREMIER BEHAVIORAL SOLUTIONS OF FLORIDA INC
Entity Type:Organization
Organization Name:PREMIER BEHAVIORAL SOLUTIONS OF FLORIDA INC
Other - Org Name:MANATEE PALMS GROUP HOMES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SRVP CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:6640 CAROTHERS PKWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6323
Mailing Address - Country:US
Mailing Address - Phone:615-312-5700
Mailing Address - Fax:615-312-5711
Practice Address - Street 1:1324 37TH AVE E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-4555
Practice Address - Country:US
Practice Address - Phone:941-746-1388
Practice Address - Fax:941-761-1631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness