Organization · Type 2 NPI

Phoenixco.

Substance Use Disorder Rehabilitation Clinic/Center · Fort Walton Beach, FL

NPI number 1437384518 Active

Practice location

348 Miracle Strip Pkwy SW Ste 13
Fort Walton Beach, FL 32548-5258

Fax (850) 796-2700

Mailing address

36132 Emerald Coast Pkwy
Destin, FL 32541-5776

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1437384518

Phoenixco.'s National Provider Identifier is 1437384518, issued on May 19, 2009. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Fort Walton Beach, FL. The record was last updated on May 19, 2009.