Provider Demographics
NPI:1376848226
Name:BEHAVIORAL HEALTH TRANSPORT
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARALAMBOS
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:BARAKOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-398-0845
Mailing Address - Street 1:1971 SW BILTMORE ST
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34984-4388
Mailing Address - Country:US
Mailing Address - Phone:954-522-0100
Mailing Address - Fax:954-522-0104
Practice Address - Street 1:2881 E OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1813
Practice Address - Country:US
Practice Address - Phone:954-522-0100
Practice Address - Fax:954-522-0104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle