Provider Demographics
NPI:1396362505
Name:DIRECTIONS BEHAVIORAL HEALTH CENTER
Entity Type:Organization
Organization Name:DIRECTIONS BEHAVIORAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-570-2203
Mailing Address - Street 1:6261 W ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5128
Mailing Address - Country:US
Mailing Address - Phone:877-228-2073
Mailing Address - Fax:
Practice Address - Street 1:6261 W ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5128
Practice Address - Country:US
Practice Address - Phone:877-228-2073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-03
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder