NPI 1598127771

Gulf Coast Mental Health Center

Organisation Intellectual & Developmental Disabilities Psychologist Gulfport, MS

Practice location

Address: 1110 42nd Ave, Gulfport, MS 39501-2663
Phone: (228) 868-2072
Fax: (228) 868-2091
Mailing address: 1600 Broad Ave, Gulfport, MS 39501-3603

Authorised official

Name: Thomas Pritchard
Title: C F O
Phone: (228) 863-1132

Registered specialties

Intellectual & Developmental Disabilities Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TM1800X Licence REG13-PVS-WAC-01 (MS)

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Registry record

NPI: 1598127771
Entity type: Organization
NPI issued: 25 Mar 2016
Record last updated: 25 Mar 2016

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.