Whalio Doctors

NPI 1992284285

Coastal Treatment Center, Clearwater LLC

Organisation Mental Illness Community Based Residential Treatment Facility Clearwater, FL

Practice location

Address
2120 Range Rd, Clearwater, FL 33765
Phone
(727) 205-7077
Mailing address
2120 Range Rd, Clearwater, FL 33765-2125

Authorised official

Name
Christopher Wright Fox
Title
President
Phone
(310) 547-7501

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X

Registry record

NPI
1992284285
Entity type
Organization
NPI issued
8 Aug 2018
Record last updated
13 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.