Provider Demographics
NPI:1568633683
Name:TBJ BEHAVIORAL CENTER LLC
Entity Type:Organization
Organization Name:TBJ BEHAVIORAL CENTER LLC
Other - Org Name:RIVER POINT HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP & CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:6300 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-2708
Mailing Address - Country:US
Mailing Address - Phone:904-724-9202
Mailing Address - Fax:904-724-7395
Practice Address - Street 1:6300 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-2708
Practice Address - Country:US
Practice Address - Phone:904-724-9202
Practice Address - Fax:904-724-7395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2084P0800X
FL283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes283Q00000XHospitalsPsychiatric Hospital
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104016Medicare Oscar/Certification