Provider Demographics
NPI:1750479051
Name:BEHAVIORAL HEALTH NETWORK, P.A.
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH NETWORK, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:GALARIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:302-737-9244
Mailing Address - Street 1:930 OLD HARMONY RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4161
Mailing Address - Country:US
Mailing Address - Phone:302-737-9244
Mailing Address - Fax:302-737-6244
Practice Address - Street 1:930 OLD HARMONY RD
Practice Address - Street 2:SUITE C
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4161
Practice Address - Country:US
Practice Address - Phone:302-737-9244
Practice Address - Fax:302-737-6244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000030416Medicaid
DEG01168Medicare ID - Type Unspecified