NPI | 1336994359 |
---|---|
Doing Business As | GULF COAST RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | CARTER POPE CEO 404-333-2277 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2024-04-22 |
Last Update Date | 2024-04-25 |