NPI 1275938763

Ability Club Corporation

Organisation Community/Behavioral Health Agency Gulfport, MS

Practice location

Address: 11551 Pine Dr, Gulfport, MS 39503-3998
Phone: (251) 404-0016

Authorised official

Name: Wade Mitchell Ogletree
Title: Ceo
Phone: (251) 404-0016

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Mississippi →

Registry record

NPI: 1275938763
Entity type: Organization
NPI issued: 27 Oct 2014
Record last updated: 27 Oct 2014

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.