Organization
EMERALD COAST BEHAVIORAL HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP & CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
1940 HARRISON AVENUE, PANAMA CITY, FL 32405-4542
(850) 763-0017
(850) 532-6462
Mailing address
1940 HARRISON AVENUE, PANAMA CITY, FL 32405-4542
(850) 763-0017
(850) 532-6462
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
283Q00000X
Psychiatric Hospital
Primary
4500
FL
283Q00000X
Psychiatric Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001652300
—
FL
Enumeration date
08/12/2009
Last updated
01/24/2013
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