Organization · Type 2 NPI
Gulf Coast Treatment Center
Emotionally Disturbed Childrens' Residential Treatment Facility · Fort Walton Beach, FL
Practice location
1015 Mar Walt Drive
Fort Walton Beach, FL 32547
Fax (850) 863-8576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric Hospital | 283Q00000X | 4454 (FL) |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 4454 (FL) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
About NPI 1700985462
Gulf Coast Treatment Center's National Provider Identifier is 1700985462, issued on Sep 21, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Mar 31, 2009.