Organization · Type 2 NPI
Journeypure Fort Walton
Substance Use Disorder Rehabilitation Clinic/Center · Fort Walton Beach, FL
NPI number
1528454352
Active
Practice location
907 Mar Walt Dr, Suite 2013
Fort Walton Beach, FL 32547-6960
Mailing address
115 Penn Warren Dr, Suite 300-290
Brentwood, TN 37027-5047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 0146AD9349-01 (FL) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1528454352
Journeypure Fort Walton's National Provider Identifier is 1528454352, issued on Apr 8, 2015. 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 Apr 8, 2015.