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Alice Gath
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Picayune, Mississippi
NPI 1376117986

Alice Gath is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Picayune, MS. Alice Gath practices in Picayune, MS. The NPI Number for Alice Gath is 1376117986 and holds a License No. (Mississippi).

The current practice location address for Alice Gath is 1003 E Sycamore Rd, Picayune, MS and can be reached out via phone at 601-569-0872.

Location: 1003 E Sycamore Rd, Picayune, MS, 39466-2700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376117986
Provider Name
Alice Gath
Credential
Provider Entity Type
Individual
Gender
Female
Address
1003 E Sycamore Rd, Picayune, MS, 39466-2700
Phone Number
601-569-0872
Fax Number
Provider Enumeration Date
05/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1003 E Sycamore Rd
City
Picayune
State
Mississippi
Zip
39466-2700
Phone Number
601-569-0872
Fax Number
person
Provider Business Mailing Address Details
Address
1003 E Sycamore Rd
City
Picayune
State
Mississippi
Zip
39466-2700
Phone Number
601-569-0872
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(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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