Organization
PALM COAST RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY MILLER MCAP (CLINICAL DIRECTOR)
(386) 986-6498
Entity
Organization
Contact information
Practice address
160 CYPRESS POINT PKWY, PALM COAST, FL 32164-8433
(386) 986-6498
Mailing address
160 CYPRESS POINT PKWY, PALM COAST, FL 32164-8433
(386) 986-6498
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
05/18/2022
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