Provider Demographics
NPI:1417300773
Name:FOCUS BEHAVIORAL HEALTH AT THE BEACH LP
Entity Type:Organization
Organization Name:FOCUS BEHAVIORAL HEALTH AT THE BEACH LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GUILFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:HURST
Authorized Official - Suffix:
Authorized Official - Credentials:GENERAL PTR
Authorized Official - Phone:302-438-8058
Mailing Address - Street 1:33712 WESCOATS RD
Mailing Address - Street 2:UNIT 4
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-4934
Mailing Address - Country:US
Mailing Address - Phone:302-762-2283
Mailing Address - Fax:
Practice Address - Street 1:33712 WESCOATS RD
Practice Address - Street 2:UNIT 4
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4934
Practice Address - Country:US
Practice Address - Phone:302-762-2283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2016603795103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty