| NPI | 1851500409 |
|---|---|
| Doing Business As | GULF COAST COMMUNITY CARE |
| Entity Type | Organization |
| Authorized Contact | CAROLYN JIMENEZ YANDEK Director Credentialing/Billing 727-430-3291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL 8601) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-02-18 |