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Organization

COASTAL MENTAL HEALTH CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY JOHN SCALETTA (CEO)
(800) 614-4124
Entity
Organization

Contact information

Practice address
101 BELLAGIO CIR, SANFORD, FL 32771-5000
(800) 614-4124
(888) 217-4124
Mailing address
665 W WARREN AVE, LONGWOOD, FL 32750-4004
(407) 712-4332
(888) 217-4124

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261Q00000X
Clinic/Center
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000959600
FL
Enumeration date
04/12/2008
Last updated
07/08/2025
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