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OKALOOSA YOUTH DEVELOPMENT CENTER SEX OFFENDER PROGRAM
NPI 1457580276
Custodial Care Facility in Crestview, FL

Active since July 14, 2009CLIA 10D0984321 · Waiver
4449 STRAIGHT LINE RD, CRESTVIEW, FL 32539(850) 863-4160(850) 863-8576 Get Directions Write a Review

NPPES record last updated: July 14, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Okaloosa Youth Development Center Sex Offender Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OKALOOSA YOUTH DEVELOPMENT CENTER SEX OFFENDER PROGRAM (NPI 1457580276) is a healthcare organization registered as a custodial care facility in Crestview, Florida and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Jeffrey M Kaplan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457580276
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameGULF COAST TREATMENT CENTER, INC.
Location Address4449 STRAIGHT LINE RDCrestview, FL 32539-6720
Mailing Address4449 Straight Line RdCrestview, FL 32539-6720 · (850) 863-4160 · Fax (850) 863-8576
Phone(850) 863-4160
Fax(850) 863-8576
Organization SubpartNo
Authorized OfficialJeffrey M KaplanCeo · (850) 863-4160
Enumeration DateJuly 14, 2009
✔ NPI 1457580276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
4449 STRAIGHT LINE RD, Crestview, FL 32539
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Other Names 1

Doing Business AsOkaloosa Youth Development Center Sex Offender Program

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0984321

Gulf Coast Treatment Center · Fort Walton Beach, FL
Active · expires Mar 19, 2027
CLIA Number10D0984321
Laboratory TypeOther
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorAlexander Adelesberger
Laboratory Phone(850) 863-4160
Laboratory LocationGulf Coast Treatment Center1015 Mar Walt Dr, Fort Walton Beach, FL 32547
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. NANCY ANN CAUDILL LCSW
Social Worker (Clinical)
4449 STRAIGHT LINE RD
CRESTVIEW, FL 32539
Okaloosa County (850) 683-3900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gulf Coast Treatment Center, Inc.'s NPI number?

The NPI number for Gulf Coast Treatment Center, Inc. is 1457580276. It was assigned to this organization in the NPPES registry on July 14, 2009. The provider is doing business as Okaloosa Youth Development Center Sex Offender Program.

Where is Gulf Coast Treatment Center, Inc. located?

Gulf Coast Treatment Center, Inc. is located at 4449 Straight Line Rd, Crestview, FL 32539. The listed phone number is (850) 863-4160.

What is Gulf Coast Treatment Center, Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

Does Gulf Coast Treatment Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0984321) is associated with this NPI, valid through March 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gulf Coast Treatment Center, Inc. was last updated on July 14, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.