NPIMap

Organization Active NPI

Narconon Gulf Coast, Inc.

  • Substance Abuse Rehabilitation Facility
  • Destin, FL
National Provider Identifier
1902030612
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
0146AD1325-00 Issued in FL
Legal business name
NARCONON GULF COAST, INC.
Practice address
3391 Scenic Highway 98
Destin, FL 32541-4748
Phone
(850) 837-2799
Fax
(850) 654-7986
NPI assigned
May 8, 2009
Last updated
May 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah V. Ross, R.N.
Title
Executive Director
Phone
(850) 837-2799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 0146AD1325-00 FL Primary

Addresses

Primary practice location

3391 Scenic Highway 98
Destin, FL 32541-4748

Mailing address

3391 Scenic Highway 98
Destin, FL 32541-4748
Phone (850) 837-2799

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Addiction Treatment2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1902030612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3391 SCENIC HIGHWAY 98",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325414748",
            "telephone_number": "850-837-2799",
            "fax_number": "850-654-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 SCENIC HIGHWAY 98",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325414748",
            "telephone_number": "850-837-2799",
            "fax_number": "850-654-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARCONON GULF COAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-837-2799",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "0146AD1325-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.