Healthcare Provider Details

I. General information

NPI: 1508962796
Provider Name (Legal Business Name): APALACHEE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 03/05/2020
Certification Date: 03/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13888 NW COUNTY ROAD 12
BRISTOL FL
32321-3270
US

IV. Provider business mailing address

2634 CAPITAL CIR NE
TALLAHASSEE FL
32308-4106
US

V. Phone/Fax

Practice location:
  • Phone: 850-643-2232
  • Fax: 850-643-5657
Mailing address:
  • Phone: 850-523-3333
  • Fax: 850-523-3411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: APRIL D LANDRUM
Title or Position: DIRECTOR OF PATIENT FINANCIAL SRVCS
Credential:
Phone: 850-523-2243