Putnam County Alcohol & Drug Council, Inc.
May also be knows as Putnam-st. Johns Behavioral Healthcare
Mental Health Clinic/Center (Including Community Mental Health Center) in Palatka, FL(View on Map)
Legal Business Name
Putnam County Alcohol & Drug Council, Inc.
Also Known As
Putnam-st. Johns Behavioral Healthcare
NPI Number
1023013729
NPI Type
Organization
Enumeration Date
06/17/2005
Specialties
(Taxonomies)Name
Code
261QM0801X
251B00000X
324500000X
Primary Taxonomy
Yes
No
No
Licenses
State
Florida
License Number
0354AD252601
Contact
Information
Purpose
Mailing
Location
Address
330 KAY LARKIN DR
330 KAY LARKIN DR
City
Palatka
Palatka
State
FL
FL
Postal Code
32177-2307
32177-2307
Country
US
US
Telephone Number
(386) 329-3780
(386) 329-3780
Authorized Official
Name
Mrs. Joyce Miller
Title or Position
CHAIRPERSON BOARD OF DIRECTORS
Telephone Number
(386) 325-4714
Identifiers
Identifier
38327
360349100
335268
60023030
758545400
274738
760471800
Identifier State
FL
FL
FL
FL
FL
FL
FL
Identifier Issuer
BC/BS
Unknown
VALUE OPTIONS
MAGELLAN
MEDICAID CARE MGMT
WELLCARE
MEDICAID COMP. ACCESS
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/29/2011
Provider Address
Other Mental Health Clinics/Centers (Including Community Mental Health Centers) in Palatka, Florida:
Sma Healthcare Inc
Palatka, FLSpecialty: Mental Health Clinic/Center (Including Community Mental Health Center) (Primary)
Meridian Behavioral Healthcare, Inc.
Palatka, FLSpecialties: Community/Behavioral Health Agency (Primary)Mental Health Clinic/Center (Including Community Mental Health Center)
Sma Healthcare Inc
Palatka, FLSpecialties: Case Management Agency (Primary)Mental Health Clinic/Center (Including Community Mental Health Center)