Organization
COASTAL TREATMENT CENTER, NOKOMIS LLC
Active
Other names
The Wave of Sarasota
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER WRIGHT FOX (PRESIDENT)
(310) 547-7501
Entity
Organization
Contact information
Practice address
119 TAMIAMI TRL N, NOKOMIS, FL 34275-2120
(727) 309-7993
Mailing address
119 TAMIAMI TRL N, NOKOMIS, FL 34275-2120
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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