| Treatment Center Of Panama City | |
|
1530 Harrison Ave Panama City FL 32405-4619 | |
| (850) 769-5695 | |
| Not Available |
| Full Name | Treatment Center Of Panama City |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1530 Harrison Ave, Panama City, Florida |
| Authorized Official Name and Position | Alan Cooper Folsom (MEMBER) |
| Authorized Official Contact | 2292420953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Treatment Center Of Panama City 2935 N Ashley St Ste 114 Valdosta GA 31602-1788 Ph: (229) 242-0953 | Treatment Center Of Panama City 1530 Harrison Ave Panama City FL 32405-4619 Ph: (850) 769-5695 |
| NPI Number | 1215597455 |
|---|---|
| Provider Enumeration Date | 06/19/2019 |
| Last Update Date | 12/15/2021 |
| Certification Date | 12/15/2021 |
| Medicare PECOS PAC ID | 0840689741 |
|---|---|
| Medicare Enrollment ID | O20211115002862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215597455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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