| Senior Living Behavioral Health, Pllc | |
|
300 Cabana Cay Cir Panama City Beach FL 32413-4684 | |
| (516) 448-1382 | |
| Not Available |
| Full Name | Senior Living Behavioral Health, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 300 Cabana Cay Cir, Panama City Beach, Florida |
| Authorized Official Name and Position | Bruce Brotter (OWNER) |
| Authorized Official Contact | 5164481382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Living Behavioral Health, Pllc 747 3rd Ave Fl 2 New York NY 10017-2878 Ph: (516) 448-1382 | Senior Living Behavioral Health, Pllc 300 Cabana Cay Cir Panama City Beach FL 32413-4684 Ph: (516) 448-1382 |
| NPI Number | 1346721917 |
|---|---|
| Provider Enumeration Date | 08/22/2018 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346721917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW15587 (Florida) | Primary |
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