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Tay Gaines Llc
Adult Mental Health Clinic/Center in Riviera Beach, Florida
NPI 1295991107

Tay Gaines Llc is an Adult Mental Health Clinic/Center based in Riviera Beach, FL and is specialized in Adult Mental Health. Tay Gaines Llc practices in Riviera Beach, FL. The NPI Number for Tay Gaines Llc is 1295991107 and holds a License No. ME55707 (Florida).

The current practice location address for Tay Gaines Llc is 4152 Blue Heron Blvd W, Riviera Beach, FL and can be reached out via phone at 561-844-7699 and via fax at 561-842-8215.

Location: 4152 Blue Heron Blvd W, Riviera Beach, FL, 33404-4811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295991107
Provider Name
Tay Gaines Llc
Credential
Provider Entity Type
Organization
Address
4152 Blue Heron Blvd W, Riviera Beach, FL, 33404-4811
Phone Number
561-844-7699
Fax Number
561-842-8215
Provider Enumeration Date
07/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4152 Blue Heron Blvd W
City
Riviera Beach
State
Florida
Zip
33404-4811
Phone Number
561-844-7699
Fax Number
561-842-8215
person
Provider Business Mailing Address Details
Address
4152 Blue Heron Blvd W
City
Riviera Beach
State
Florida
Zip
33404-4811
Phone Number
561-844-7699
Fax Number
561-842-8215
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
ME55707 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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