Organization · Type 2 NPI

Beverly Wilusz

Community/Behavioral Health Agency · Fort Walton Beach, FL

NPI number 1275946535 Active

Practice location

228 Brooks St SE Ste A
Fort Walton Beach, FL 32548-2821

Call (850) 301-0446 Map

Fax (850) 301-0442

Mailing address

PO Box 846
Fort Walton Beach, FL 32549-0846

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	MH-2007 (FL)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1275946535

Beverly Wilusz's National Provider Identifier is 1275946535, issued on Jun 4, 2014. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Jun 4, 2014.