Provider Demographics
NPI:1558662346
Name:FOCUS BEHAVIORAL HEALTH,LLC
Entity Type:Organization
Organization Name:FOCUS BEHAVIORAL HEALTH,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RANGA
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:RAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-752-2285
Mailing Address - Street 1:410 FOULK RD STE 105
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3835
Mailing Address - Country:US
Mailing Address - Phone:302-752-2285
Mailing Address - Fax:302-752-2286
Practice Address - Street 1:410 FOULK RD STE 105
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3835
Practice Address - Country:US
Practice Address - Phone:302-752-2285
Practice Address - Fax:302-752-2286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0007013261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)