GULF COAST TREATMENT CENTER – NPI #1700985462
Residential Treatment Facility, Emotionally Disturbed Children

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.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

GULF COAST TREATMENT CENTER is a residential treatment facility located in FORT WALTON BEACH, FL. NPPES has assigned the NPI number 1700985462 to GULF COAST TREATMENT CENTER on September 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. GULF COAST TREATMENT CENTER is also known by the name GULF COAST YOUTH SERVICES. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 17 years ago on Mar 31, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GULF COAST TREATMENT CENTER below.

NPI Profile for
GULF COAST TREATMENT CENTER

NPI Number
1700985462
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GULF COAST TREATMENT CENTER
Other Name: GULF COAST YOUTH SERVICES
Primary location
1015 MAR WALT DRIVE
FORT WALTON BEACH, FL 32547
Phone: (850) 863-4160 Fax: (850) 863-8576
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEFFREY KAPLAN
CEO
Phone: (850) 863-4160
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)		 FL 4454
283Q00000X
- Psychiatric Hospital		 FL 4454

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.