Coastal Treatment Center, Nokomis LLC

Organization Active NPI Substance Abuse Rehabilitation Facility · Nokomis, FL

NPI 1982183273 · NPPES record last updated Aug 8, 2018

Key facts

NPI
1982183273
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
Legal business name
COASTAL TREATMENT CENTER, NOKOMIS LLC
Practice address
119 Tamiami TRL N
Nokomis, FL 34275-2120
Phone
(727) 309-7993
NPI assigned
Aug 8, 2018
Organization subpart
No

Authorized official

Name
Christopher Wright Fox
Title
President
Phone
(310) 547-7501

National Provider Directory

Locations

119 Tamiami Trl N
Nokomis, FL 34275
Phone (727) 309-7993

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Yes

Addresses

Primary practice location

119 Tamiami TRL N
Nokomis, FL 34275-2120

Mailing address

119 Tamiami TRL N
Nokomis, FL 34275-2120

Other names

  • The Wave of Sarasota Doing business as

Other providers in Nokomis, FL

All providers in Nokomis, FL · Substance Abuse Rehabilitation Facility in Florida

Sources for this page

Verify at the official NPI Registry.