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Organization

CRC HEALTH TREATMENT CLINICS, LLC

Active
Other names
Panhandle Comprehensive Treatment Center
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW LAFONTANT (CLINIC DIRECTOR)
(850) 800-2772
Entity
Organization

Contact information

Practice address
4553 WATKINS ST, PACE, FL 32571-2511
(850) 800-2772
Mailing address
4553 WATKINS ST, PACE, FL 32571-2511
(850) 800-2772

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary

Other

Enumeration date
11/10/2021
Last updated
11/19/2021
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