| Coastal Mental Health Center | |
|
150 S Palmetto Ave Suite 103 Daytona Beach FL 32114-4385 | |
| (386) 675-4694 | |
| (888) 217-4124 |
| Full Name | Coastal Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 150 S Palmetto Ave, Daytona Beach, Florida |
| Authorized Official Name and Position | Robert Gary Miller (PRESIDENT) |
| Authorized Official Contact | 4077219210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Mental Health Center 150 S Palmetto Ave Suite 103 Daytona Beach FL 32114-4385 Ph: (386) 675-4694 | Coastal Mental Health Center 150 S Palmetto Ave Suite 103 Daytona Beach FL 32114-4385 Ph: (386) 675-4694 |
| NPI Number | 1740302181 |
|---|---|
| Provider Enumeration Date | 04/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740302181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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