| NPI | 1780191577 |
|---|---|
| Doing Business As | GULFPORT BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | STEVE FILTON CFO Sr VP 610-768-3482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |