NPI 1649773540

Gulf Coast Mental Health Center

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

Practice location

Address: 1600 Broad Avenue, Gulfport, MS 39501-3603
Phone: (228) 863-1132
Fax: (228) 865-1700

Authorised official

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

Registered specialties (2)

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

Residential Treatment Facilities Taxonomy 320900000X Licence M8858 (MS)

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

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1649773540
Entity type: Organization
NPI issued: 16 Mar 2018
Record last updated: 16 Mar 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.