| NPI | 1043956527 |
|---|---|
| Former Legal Business Name | GULF COAST BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | CRISTY STIBAL Director Of Operations 208-821-1032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 175T00000X Peer Specialist | |
| 225C00000X Rehabilitation Counselor | |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2023-03-31 |