Organization
PUTNAM COUNTY ALCOHOL & DRUG COUNCIL, INC.
Active
Other names
Putnam-St. Johns Behavioral Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE C MILLER (CHAIRPERSON BOARD OF DIRECTORS)
(386) 325-4714
Entity
Organization
Contact information
Practice address
330 KAY LARKIN DR, PALATKA, FL 32177-2307
(386) 329-3780
(386) 385-1269
Mailing address
330 KAY LARKIN DR, PALATKA, FL 32177-2307
(386) 329-3780
(386) 385-1269
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
0354AD252601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274738
WELLCARE
FL
01
—
335268
VALUE OPTIONS
FL
05
—
360349100
—
FL
01
—
38327
BC/BS
FL
01
—
60023030
MAGELLAN
FL
01
—
758545400
MEDICAID CARE MGMT
FL
01
—
760471800
MEDICAID COMP. ACCESS
FL
Enumeration date
06/17/2005
Last updated
12/29/2011
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