| Gulf Coast Jewish Family And Community Services, Inc. | |
|
2425 Chatlin Rd Holiday FL 34691-3366 | |
| (727) 943-4847 | |
| (727) 479-1248 |
| Full Name | Gulf Coast Jewish Family And Community Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2425 Chatlin Rd, Holiday, Florida |
| Authorized Official Name and Position | Loris Dixon (CFO) |
| Authorized Official Contact | 7274791800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Jewish Family And Community Services, Inc. 14041 Icot Blvd Clearwater FL 33760-3702 Ph: (727) 450-7269 | Gulf Coast Jewish Family And Community Services, Inc. 2425 Chatlin Rd Holiday FL 34691-3366 Ph: (727) 943-4847 |
| NPI Number | 1346459468 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 09/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346459468 | NPI | - | NPPES |
| 060569715 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 430 (Florida) | Secondary |
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