Gulf Coast Recovery Inc
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Treasure Island, FL
NPI 1275759656 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1275759656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- GULF COAST RECOVERY INC
- Practice address
- 145 108TH Avenue
Treasure Island, FL 33706 - Phone
- (727) 367-9662
- Fax
- (727) 367-9661
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Matthew B Schwarz
- Title
- Ceo
- Phone
- (727) 367-9662
National Provider Directory
Locations
145 108th Ave
Treasure Island, FL 33706
Phone (727) 367-9655
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
145 108TH Avenue
Treasure Island, FL 33706
Mailing address
145 108TH Avenue
Treasure Island, FL 33706
Phone (727) 367-9662
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 548542 | Other | VALUE OPTION | |
| S6D | Other | FL | BCBS OF FLORIDA |
Other providers in Treasure Island, FL
- Julie Gardner
- Herbert Gersh
- Mamoon Ali Ghellai
- Linda Karen Gibbons
- Amanda Gibson
- Steven Craig Hammock
- Colleen A Hyde
- Jeevan Diptee Rodrigues MD PA
- Pamela Ann Kay
- Joseph Wesley Klein
All providers in Treasure Island, FL · Substance Use Disorder Rehabilitation Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.