Organization
CHARLOTTE BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA SCANLON LMHC (CEO)
(941) 639-8300
Entity
Organization
Contact information
Practice address
1700 EDUCATION AVE, PUNTA GORDA, FL 33950-6222
(941) 639-8300
Mailing address
1700 EDUCATION AVE, PUNTA GORDA, FL 33950-6222
(941) 639-8300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH12907
FL
284300000X
Special Hospital
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/30/2015
Last updated
08/19/2024
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