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Gulf Coast Treatment Center
Emotionally Disturbed Childrens' Residential Treatment Facility in Fort Walton Beach, Florida
NPI 1700985462

Gulf Coast Treatment Center is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Fort Walton Beach, FL. Gulf Coast Treatment Center practices in Fort Walton Beach, FL. The NPI Number for Gulf Coast Treatment Center is 1700985462 and holds a License No. 4454 (Florida).

The current practice location address for Gulf Coast Treatment Center is 1015 Mar Walt Drive, Fort Walton Beach, FL and can be reached out via phone at 850-863-4160 and via fax at 850-863-8576.

Location: 1015 Mar Walt Drive, Fort Walton Beach, FL, 32547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700985462
Provider Name
Gulf Coast Treatment Center
Credential
Provider Entity Type
Organization
Address
1015 Mar Walt Drive, Fort Walton Beach, FL, 32547
Phone Number
850-863-4160
Fax Number
850-863-8576
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1015 Mar Walt Drive
City
Fort Walton Beach
State
Florida
Zip
32547
Phone Number
850-863-4160
Fax Number
850-863-8576
person
Provider Business Mailing Address Details
Address
1015 Mar Walt Drive
City
Fort Walton Beach
State
Florida
Zip
32547
Phone Number
850-863-4160
Fax Number
850-863-8576
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
4454 (Florida)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
4454 (Florida)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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