| NPI | 1467100925 |
|---|---|
| Doing Business As | GULF COAST THERAPY GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | LISA O'HARA Owner 850-261-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-03-14 |