Organization Name: | COASTAL REHABILITATION AND TREATMENT SERVICES. |
NPI Number: | 1245562347 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNE BISHOP MORGAN (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 53 Avenue C Apalachicola |
State: | FL US |
Postal Code: | 323203524 |
Phone Number: | 8505660037 |
Fax Number: | 8506973891 |
NPI Enumeration Date: | 02/01/2010 |
NPI Last Update Date: | 01/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | 0219AD101900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |