Organization
GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC.
Active
Organization
GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIS DIXON (CFO)
(727) 479-1800
Entity
Organization
Contact information
Practice address
2425 CHATLIN RD, HOLIDAY, FL 34691-3366
(727) 943-4847
(727) 479-1248
Mailing address
14041 ICOT BLVD, CLEARWATER, FL 33760-3702
(727) 450-7269
(727) 479-1248
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060569715
—
FL
Enumeration date
05/22/2007
Last updated
09/24/2018
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