Organization
COASTAL TREATMENT CENTER, CLEARWATER LLC
Active
Other names
The Wave of Clearwater
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER WRIGHT FOX (PRESIDENT)
(310) 547-7501
Entity
Organization
Contact information
Practice address
2120 RANGE RD, CLEARWATER, FL 33765
(727) 205-7077
Mailing address
2120 RANGE RD, CLEARWATER, FL 33765-2125
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
06/13/2019
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