OrganizationActive
Country Acres Ch
NPI 1336582469 · Psychiatric Residential Treatment Facility · Titusville, FL
Provider details
- NPI number
- 1336582469
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kathleen Young, Residential Worker(321) 264-5000
- License
- 8 (FL)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1850 S Deleon Ave
Titusville, FL 32780-7733
Phone: (321) 264-5000
Fax: (321) 264-5195
Approximate (ZIP-level) locationGet directions
Mailing address
1850 S Deleon Ave
Titusville, FL 32780-7733
Registry dates
- Enumerated
- 2013-04-08
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.