Organization
COMMUNITY TREATMENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN MATTHEW MELTON LMHCCAP (EXECUTIVE DIRECTOR PRESIDENT)
(321) 632-5958
Entity
Organization
Contact information
Practice address
1215 LAKE DR, COCOA, FL 32922-6293
(321) 632-5958
(321) 632-2533
Mailing address
1215 LAKE DR, COCOA, FL 32922-6293
(321) 632-5958
(321) 632-2533
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0705AD196001
FL
Other
Enumeration date
03/29/2007
Last updated
09/21/2010
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