institution
Gulf Coast Mental Health Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gulfport, Mississippi
NPI 1083101216

Gulf Coast Mental Health Center is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Gulfport, MS. Gulf Coast Mental Health Center practices in Gulfport, MS. The NPI Number for Gulf Coast Mental Health Center is 1083101216 and holds a License No. M8723 (Mississippi).

The current practice location address for Gulf Coast Mental Health Center is 15094 County Barn Road, Gulfport, MS and can be reached out via phone at 228-863-0091 and via fax at 228-864-2241. You can also correspond with Gulf Coast Mental Health Center through the mailing address at 1600 BROAD AVE, GULFPORT, MS - 39501-3603 (mailing address contact number: 228-863-1132).

Location: 15094 County Barn Road, Gulfport, MS, 39501-3603
institution
Provider Profile Details
NPI Number
1083101216
Provider Name
Gulf Coast Mental Health Center
Credential
Provider Entity Type
Organization
Address
15094 County Barn Road, Gulfport, MS, 39501-3603
Phone Number
228-863-0091
Fax Number
228-864-2241
Provider Enumeration Date
04/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15094 County Barn Road
City
State
Zip
39503
Phone Number
228-863-0091
Fax Number
228-864-2241
person
Provider Business Mailing Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
M8723 (Mississippi)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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