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

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405X0146AD9349-01 (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.