| NPI | 1467998344 |
|---|---|
| Doing Business As | GULF COAST COMPREHENSIVE TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN PELOQUIN President, Ctc Division 855-259-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |