Provider Demographics
NPI:1578774824
Name:BEHAVIORAL HEALTH CARE MGMT SYSTEMS
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH CARE MGMT SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM BILLING SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:L
Authorized Official - Last Name:PELLEGRINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-422-0880
Mailing Address - Street 1:2917 N PINE HILLS RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-3539
Mailing Address - Country:US
Mailing Address - Phone:407-422-0880
Mailing Address - Fax:
Practice Address - Street 1:2917 N PINE HILLS RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-3539
Practice Address - Country:US
Practice Address - Phone:407-422-0880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management