| NPI | 1598127771 |
|---|---|
| Other Name | GULF COAST INDUSTRIES |
| Entity Type | Organization |
| Authorized Contact | THOMAS PRITCHARD C F O 228-863-1132 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MS REG13-PVS-WAC-01) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |