NPI 1083101216

Gulf Coast Mental Health Center

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Gulfport, MS

Practice location

Address: 15094 County Barn Road, Gulfport, MS 39503
Phone: (228) 863-0091
Fax: (228) 864-2241
Mailing address: 1600 Broad Ave, Gulfport, MS 39501-3603

Authorised official

Name: Mandy J McDonald
Title: Billing Supervisor
Phone: (228) 863-1132

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence M8723 (MS)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Mississippi →

Registry record

NPI: 1083101216
Entity type: Organization
NPI issued: 13 Apr 2018
Record last updated: 13 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.