| Emerald Coast City Of Hope, Inc | |
|
3220 Avalon Blvd Milton FL 32583-2352 | |
| (850) 910-3926 | |
| Not Available |
| Full Name | Emerald Coast City Of Hope, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3220 Avalon Blvd, Milton, Florida |
| Authorized Official Name and Position | Paul Edwin Malson (OWNER) |
| Authorized Official Contact | 8506653505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Coast City Of Hope, Inc 3220 Avalon Blvd Milton FL 32583-2352 Ph: (850) 910-3926 | Emerald Coast City Of Hope, Inc 3220 Avalon Blvd Milton FL 32583-2352 Ph: (850) 910-3926 |
| NPI Number | 1568002376 |
|---|---|
| Provider Enumeration Date | 01/09/2020 |
| Last Update Date | 01/09/2020 |
| Certification Date | 01/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568002376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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