Organization
PRESTIGE ADDICTION TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN NORRIS (OWNER)
(985) 377-8909
Entity
Organization
Contact information
Practice address
340 W 23RD ST STE C, PANAMA CITY, FL 32405-4541
(850) 640-1554
Mailing address
2117 CAROLINE ST, MANDEVILLE, LA 70448-3707
(985) 377-8909
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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