# GULF COAST TREATMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gulf Coast Youth Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700985462
- **Authorized official:** MR. JEFFREY M KAPLAN (CEO)
- **Authorized official phone:** (850) 863-4160

## Contact information

- **Practice address:** 1015 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547
- **Practice address phone:** (850) 863-4160
- **Practice address fax:** (850) 863-8576
- **Mailing address:** 1015 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547
- **Mailing address phone:** (850) 863-4160
- **Mailing address fax:** (850) 863-8576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 283Q00000X | Psychiatric Hospital | 4454 | FL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 4454 | FL | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 03/31/2009