Organization
EMERALD COAST BEHAVIOR INC
Active
Organization
EMERALD COAST BEHAVIOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE LEE WOLFF (OWNER)
(850) 307-8811
Entity
Organization
Contact information
Practice address
5747 E BAY BLVD, GULF BREEZE, FL 32563-9665
(850) 307-8811
Mailing address
5747 E BAY BLVD, GULF BREEZE, FL 32563-9665
(850) 307-8811
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/07/2019
Last updated
05/19/2022
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