Provider Demographics
NPI:1851434799
Name:APPLIED CONCEPTS IN MENTAL HEALTH, INC.
Entity Type:Organization
Organization Name:APPLIED CONCEPTS IN MENTAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, CPA
Authorized Official - Phone:727-656-9272
Mailing Address - Street 1:14131 SW 33RD CT
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33330-4684
Mailing Address - Country:US
Mailing Address - Phone:727-656-9272
Mailing Address - Fax:727-859-4637
Practice Address - Street 1:14131 SW 33RD CT
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33330-4684
Practice Address - Country:US
Practice Address - Phone:727-656-9272
Practice Address - Fax:727-859-4637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)