Organization · Type 2 NPI

Gulf Coast Mental Health Center

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

NPI number 1649773540 Active

Practice location

1600 Broad Avenue
Gulfport, MS 39501-3603

Call (228) 863-1132 Map

Fax (228) 865-1700

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XM8858 (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.

4 other providers at this address

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About NPI 1649773540

Gulf Coast Mental Health Center's National Provider Identifier is 1649773540, issued on Mar 16, 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 Mar 16, 2018.