Organization
EMERALD COAST AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH LEEPER (OFFICE MANAGER)
(850) 279-3000
Entity
Organization
Contact information
Practice address
80 COLLEGE BLVD E, NICEVILLE, FL 32578-1343
(850) 279-3000
(850) 389-2269
Mailing address
80 COLLEGE BLVD E, NICEVILLE, FL 32578-1343
(850) 279-3000
(850) 389-2269
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0177772
FL
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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