Organization
GULF COAST ADDICTION TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SEIFERT (BILLING MANAGER)
(954) 678-0078
Entity
Organization
Contact information
Practice address
3391 SCENIC HIGHWAY 98, DESTIN, FL 32541-4748
(954) 678-0078
(954) 370-6447
Mailing address
3391 SCENIC HIGHWAY 98, DESTIN, FL 32541-4748
(954) 678-0078
(954) 370-6447
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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