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Organization

COASTAL REHABILITATION AND TREATMENT SERVICES.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNE BISHOP MORGAN (CHIEF EXECUTIVE OFFICER)
(850) 566-0037
Entity
Organization

Contact information

Practice address
3295 CRAWFORDVILLE HWY, CRAWFORDVILLE, FL 32327-3150
(850) 566-0037
(850) 697-3891
Mailing address
114 APALACHEE STREET, CARRABELLE, FL 32322-3524
(850) 566-0037
(850) 697-3891

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0219AD101900
FL
261QC1500X
Community Health Clinic/Center
0219AD101900
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002056000
FL
Enumeration date
02/01/2010
Last updated
03/09/2017
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