Organization · Type 2 NPI

Gulf Coast Mental Health Center

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gulfport, MS

NPI number 1083101216 Active

Practice location

15094 County Barn Road
Gulfport, MS 39503

Call (228) 863-0091 Map

Fax (228) 864-2241

Mailing address

1600 Broad Ave
Gulfport, MS 39501-3603

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XM8723 (MS)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Another provider at this address

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Gulfport

See all in Gulfport →

About NPI 1083101216

Gulf Coast Mental Health Center's National Provider Identifier is 1083101216, issued on Apr 13, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Gulfport, MS. The record was last updated on Apr 13, 2018.