| C.o.p.e. Center | |
|
3686 Us Highway 331 S Defuniak Springs FL 32435-8463 | |
| (850) 892-8045 | |
| (850) 892-8039 |
| Full Name | C.o.p.e. Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3686 Us Highway 331 S, Defuniak Springs, Florida |
| Authorized Official Name and Position | Rachel R Gillis (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8508928045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C.o.p.e. Center 3686 Us Highway 331 S Defuniak Springs FL 32435-8463 Ph: (850) 892-8045 | C.o.p.e. Center 3686 Us Highway 331 S Defuniak Springs FL 32435-8463 Ph: (850) 892-8045 |
| NPI Number | 1801883160 |
|---|---|
| Provider Enumeration Date | 10/03/2005 |
| Last Update Date | 06/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801883160 | NPI | - | NPPES |
| 060369400 | Medicaid | FL | |
| 77467 | Other | FL | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0166AD9145-01 (Florida) | Primary |
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