NPI 1376117986

Alice Gath

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Picayune, MS

Practice location

Address: 1003 E Sycamore Rd, Picayune, MS 39466-2700
Phone: (601) 569-0872

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X

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

Registry record

NPI: 1376117986
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2021
Record last updated: 18 May 2021

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.