Organization
COASTAL BAY BEHAVIORAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN THORPE (PRESIDENT)
(904) 647-1555
Entity
Organization
Contact information
Practice address
7235 BONNEVAL RD, JACKSONVILLE, FL 32256-7565
(904) 647-1555
Mailing address
7235 BONNEVAL RD, JACKSONVILLE, FL 32256-7565
(904) 647-1555
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Enumeration date
06/10/2013
Last updated
04/09/2016
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