Journeypure Fort Walton
Clinic/Center, Rehabilitation, Substance Use Disorder in Fort Walton Beach, FL. Organization (NPI-2).
NPI number1528454352
StatusActive
Last updated in NPPESApr 8, 2015
Details
- NPI
- 1528454352
- Entity type
- Organization (NPI-2)
- Legal business name
- Journeypure Fort Walton
- Organization subpart
- No
- Enumeration date
- Apr 8, 2015
- Last updated
- Apr 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 0146AD9349-01 | FL | Yes |
Practice location
907 Mar Walt DrSuite 2013
Fort Walton Beach, FL 32547-6960
Phone 850-249-4300
Mailing address
115 Penn Warren DrSuite 300-290
Brentwood, TN 37027-5047
Phone 615-727-8386
Authorized official
Patrick Dunn
Vice President
5024723728
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Substance Use Disorder Rehabilitation Clinic/Center providers in Fort Walton Beach, FL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.