Gulf Coast Treatment Center
Residential Treatment Facility, Emotionally Disturbed Children in Fort Walton Beach, FL. Organization (NPI-2).
NPI number1700985462
StatusActive
Last updated in NPPESMar 31, 2009
Details
- NPI
- 1700985462
- Entity type
- Organization (NPI-2)
- Legal business name
- Gulf Coast Treatment Center
- Organization subpart
- No
- Enumeration date
- Sep 21, 2006
- Last updated
- Mar 31, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 4454 | FL | Yes |
| 283Q00000X | Psychiatric Hospital | 4454 | FL |
Other names
- Gulf Coast Youth Services (Other Name)
Practice location
1015 Mar Walt DriveFort Walton Beach, FL 32547
Phone 850-863-4160 · Fax 850-863-8576
Mailing address
1015 Mar Walt DriveFort Walton Beach, FL 32547
Phone 850-863-4160 · Fax 850-863-8576
Authorized official
Jeffrey M Kaplan
Ceo
8508634160
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