| 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 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-22 |