Organization · Type 2 NPI
Tay Gaines LLC
Adult Mental Health Clinic/Center · Riviera Beach, FL
NPI number
1295991107
Active
Practice location
4152 Blue Heron Blvd W, Suite 123
Riviera Beach, FL 33404-4811
Fax (561) 842-8215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | ME55707 (FL) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1295991107
Tay Gaines LLC's National Provider Identifier is 1295991107, issued on Jul 30, 2008. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Riviera Beach, FL. The record was last updated on Sep 2, 2008.