| NPI | 1417934175 |
|---|---|
| Doing Business As | GULF COAST MENTAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY E JONES CFO 228-863-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MS REG13-SO-01) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MS R-13-1) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2020-09-21 |