Organization
GULF COAST TREATMENT CENTER, INC.
Active
Other names
Okaloosa Youth Development Center Sex Offender Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY M KAPLAN (CEO)
(850) 863-4160
Entity
Organization
Contact information
Practice address
4449 STRAIGHT LINE RD, CRESTVIEW, FL 32539-6720
(850) 863-4160
(850) 863-8576
Mailing address
4449 STRAIGHT LINE RD, CRESTVIEW, FL 32539-6720
(850) 863-4160
(850) 863-8576
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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