Organization
GCMK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE PIFER (VICE-PRESIDENT)
(305) 434-9000
Entity
Organization
Contact information
Practice address
3000 41LST ST, MARATHON, FL 33050-0050
(305) 434-9000
(305) 434-9041
Mailing address
3000 41LST ST. OCEAN, MARATHON, FL 33050
(305) 434-9000
(305) 434-9041
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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