| Panhandle Comprehensive Treatment Center | |
|
4553 Watkins Street Pace FL 32571-2511 | |
| (904) 438-7640 | |
| (904) 438-7656 |
| Full Name | Panhandle Comprehensive Treatment Center |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 4553 Watkins Street, Pace, Florida |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6157169335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Panhandle Comprehensive Treatment Center 6183 Paseo Del Norte Suite 200 Carlsbad CA 92011-1155 Ph: (855) 259-2288 | Panhandle Comprehensive Treatment Center 4553 Watkins Street Pace FL 32571-2511 Ph: (904) 438-7640 |
| NPI Number | 1902405749 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902405749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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