Provider Demographics
NPI:1124359724
Name:BEHAVIORAL HEALTHCARE INSTITUTE INC
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTHCARE INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ESMERALDA
Authorized Official - Last Name:GRUNGLASSE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-333-6299
Mailing Address - Street 1:10008 PARK PLACE AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-5303
Mailing Address - Country:US
Mailing Address - Phone:813-374-2134
Mailing Address - Fax:813-374-2340
Practice Address - Street 1:10008 PARK PLACE AVE
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-5303
Practice Address - Country:US
Practice Address - Phone:813-374-2134
Practice Address - Fax:813-374-2340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)