Organization · NPI-2

Florida Treatment Services

Community/Behavioral Health · Crestview, FL

NPI number1801508437
StatusActive
Last updated in NPPESDec 14, 2022

Details

NPI
1801508437
Entity type
Organization (NPI-2)
Legal business name
Florida Treatment Services
Organization subpart
Yes
Enumeration date
Dec 14, 2022
Certification date
Dec 13, 2022
Last updated
Dec 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
261QM0850X Clinic/Center, Adult Mental Health––
261QM2800X Clinic/Center, Methadone Clinic––

Practice location

5713 Highway 85 N
Crestview, FL 32536-9008

Phone 850-801-1379 · Fax 833-411-1264

Mailing address

13553 State Route 54
Ste 309
Odessa, FL 33556

Phone 727-284-8618

Authorized official

Larry Coplin
Executive Director
7272848618

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