Organization
GULF COAST TREATMENT CENTER
Active
Other names
Gulf Coast Youth Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY M KAPLAN (CEO)
(850) 863-4160
Entity
Organization
Contact information
Practice address
1015 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547
(850) 863-4160
(850) 863-8576
Mailing address
1015 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547
(850) 863-4160
(850) 863-8576
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
4454
FL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
4454
FL
Other
Enumeration date
09/21/2006
Last updated
03/31/2009
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