Provider Demographics
NPI:1891915310
Name:PREMIER BEHAVIORAL SOLUTIONS OF FLORIDA
Entity Type:Organization
Organization Name:PREMIER BEHAVIORAL SOLUTIONS OF FLORIDA
Other - Org Name:RAMSAY YOUTH SVCS. OF FLORIDA, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:BUSINESS COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANICHA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BOTTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-746-1388
Mailing Address - Street 1:1324 37TH AVE E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-4555
Mailing Address - Country:US
Mailing Address - Phone:941-746-1388
Mailing Address - Fax:941-782-1544
Practice Address - Street 1:1324 37TH AVE E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-4555
Practice Address - Country:US
Practice Address - Phone:941-746-1388
Practice Address - Fax:941-782-1544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH 17449323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility