Adolescent Substance Abuse Program

LBN: Gulf Coast Youth Services
Adolescent Substance Abuse Program is an health care organization with primary practice located at 1015 Mar Walt Dr Bldg 100 , Fort Walton Beach FL 32547-6738. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Custodial Care Facility, which is considered as the primary health care specialty. Gulf Coast Youth Services can be contacted via phone (850) 863-4160, or through Kaplan, Jeffrey via phone (850) 863-4160.

Contact Information

Primary practice address
1015 Mar Walt Dr Bldg 100 Fort Walton Beach FL 32547-6738
Phone: (850) 863-4160
Fax: (850) 863-8576
Website:
Map and Directions
Authorized official contact:
Name: Kaplan, Jeffrey
Phone: (850) 863-4160

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X 260390701652 Florida

Profile Details

NPI number 1659597995
LBN Legal business name Gulf Coast Youth Services
DBA Doing business as Adolescent Substance Abuse Program
Authorized official Kaplan, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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