Organization
COASTAL MENTAL HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JOHN SCALETTA (CEO)
(407) 347-6387
Entity
Organization
Contact information
Practice address
1320 N SEMORAN BLVD STE 107, ORLANDO, FL 32807-3552
(407) 347-6387
(888) 217-4124
Mailing address
665 W WARREN AVE, LONGWOOD, FL 32750-4004
(407) 347-6387
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
04/25/2023
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