Organization
PHOENIXCO.
Active
Other names
Townsend Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM POLLOCK (CEO)
(337) 315-9456
Entity
Organization
Contact information
Practice address
348 MIRACLE STRIP PKWY SW STE 13, FORT WALTON BEACH, FL 32548-5258
(850) 244-2900
(850) 796-2700
Mailing address
36132 EMERALD COAST PKWY, DESTIN, FL 32541-5776
(850) 424-3914
(850) 424-3931
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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