NPI | 1851359780 |
---|---|
Former Legal Business Name | SYNERGY BEHAVIORAL HEALTH GULF COAST INC |
Entity Type | Organization |
Authorized Contact | EARL J WILDE Chairman Of The Board 225-810-4040 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-05-02 |
Last Update Date | 2020-08-22 |