Coastal Treatment Center, Nokomis LLC
Substance Abuse Rehabilitation Facility in Nokomis, FL. Organization (NPI-2).
NPI number1982183273
StatusActive
Last updated in NPPESAug 8, 2018
Details
- NPI
- 1982183273
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Treatment Center, Nokomis LLC
- Organization subpart
- No
- Enumeration date
- Aug 8, 2018
- Last updated
- Aug 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Other names
- The Wave Of Sarasota (Doing Business As)
Practice location
119 Tamiami Trl NNokomis, FL 34275-2120
Phone 727-309-7993
Mailing address
119 Tamiami Trl NNokomis, FL 34275-2120
Authorized official
Christopher Wright Fox
President
3105477501
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