Gulf Coast Youth Services
Gulf Coast Youth Services is a Custodial Care Facility in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
Practice location Address checks out
1015 Mar Walt Dr Bldg 100Fort Walton Beach, FL 32547-6738
Phone: (850) 863-4160
Fax: (850) 863-8576
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Specialties & licences
| Custodial Care Facility (primary) | Taxonomy 311Z00000X · Licence 260390701652 (FL) |
|---|
Record details
| NPI number | 1659597995 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Kaplan — Ceo · (850) 863-4160 |
| Other names | Adolescent Substance Abuse Program |
| NPI enumerated | April 17, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1015 Mar Walt Dr Bldg 100, Fort Walton Beach, FL 32547-6738 |
Other providers in Fort Walton Beach
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Gulf Coast Youth Services
1015 Mar Walt Dr, Fort Walton Beach, FL 32547-6738 · (850) 863-4160