Organization
COASTAL REHABILITATION AND TREATMENT SERVICES.
Active
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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