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
11/10/2021
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