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ADOLESCENT SUBSTANCE ABUSE PROGRAM
NPI 1659597995
Custodial Care Facility in Fort Walton Beach, FL

Active since April 17, 2007
1015 MAR WALT DR BLDG 100, FORT WALTON BEACH, FL 32547(850) 863-4160(850) 863-8576 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Adolescent Substance Abuse Program NPPES

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

ADOLESCENT SUBSTANCE ABUSE PROGRAM (NPI 1659597995) is a healthcare organization registered as a custodial care facility in Fort Walton Beach, Florida and active in the NPI registry since April 2007. The organization lists Jeffrey Kaplan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659597995
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameGULF COAST YOUTH SERVICES
Location Address1015 MAR WALT DR BLDG 100Fort Walton Beach, FL 32547-6738
Mailing Address1015 Mar Walt Dr Bldg 100Fort Walton Beach, FL 32547-6738 · (850) 863-4160 · Fax (850) 863-8576
Phone(850) 863-4160
Fax(850) 863-8576
Organization SubpartNo
Authorized OfficialJeffrey KaplanCeo · (850) 863-4160
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1659597995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
License✔ Licensed in FL · 260390701652
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.
1015 MAR WALT DR BLDG 100, Fort Walton Beach, FL 32547
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Other Names 1

Doing Business AsAdolescent Substance Abuse Program

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 Youth Services's NPI number?

The NPI number for Gulf Coast Youth Services is 1659597995. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as Adolescent Substance Abuse Program.

Where is Gulf Coast Youth Services located?

Gulf Coast Youth Services is located at 1015 Mar Walt Dr Bldg 100, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-4160.

What is Gulf Coast Youth Services's specialty?

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

When was this NPI record last updated?

The NPPES record for Gulf Coast Youth Services was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.