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General NPI Number Information
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NPI Number | 1063258598
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Entity Type | Organization
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Legal Business Name | NORTH PORT BH, LLC
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Dates
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Enumeration Date | 07/03/2024
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 4501 CITIZENS PARKWAY
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City | NORTH PORT
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State | FL
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Zip | 34288
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Country | US
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Telephone | 914-867-9470
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Fax |
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Provider Business Mailing Address
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Address Line | 4020 ASPEN GROVE DR STE 900
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City | FRANKLIN
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State | TN
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Zip | 37067-3134
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Country | US
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Telephone | 615-861-6000
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT AND SECRETARY
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Name | BRIAN P. FARLEY
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Credential |
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Telephone | 615-861-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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