Gulf Coast Treatment Center, Inc.

NPI 1457580276 - Custodial Care Facility - 311Z00000X

NPI Details
NPI 1457580276
Enumeration Date 07/14/2009
Last Updated 07/14/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JEFFREY M JEFFREY
Position CEO
Phone (850) 863-4160
Fax (850) 863-8576
Practice Location
4449 STRAIGHT LINE RD
CRESTVIEW FL, 32539-6720, US
Phone (850) 863-4160
Fax (850) 863-8576
Business Location
4449 STRAIGHT LINE RD
CRESTVIEW FL, 32539-6720, US
Phone (850) 863-4160
Fax (850) 863-8576
Toxanomy
Taxonomy Code 311Z00000X
License State
License Number
Remove 1457580276 NPI Number
 

According to our database, Gulf Coast Treatment Center, Inc. NPI is 1457580276, taxonomy code is 311Z00000X Gulf Coast Treatment Center, Inc. physically located at 4449 Straight Line Rd, Crestview FL, 32539-6720. NPI Number 1033115704 has the healthcare provider type.

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1457580276 NPI number is provided on an as is basis without warranty of any kind. 1457580276 is maintained by the National Plan & Provider Enumeration System. The contents of Gulf Coast Treatment Center, Inc. are for informational purposes only.