person
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. You can also correspond with Alice Gath through the mailing address at 1003 E SYCAMORE RD, PICAYUNE, MS - 39466-2700 (mailing address contact number: 601-569-0872).

Location: 1003 E Sycamore Rd, Picayune, MS, 39466-2700
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
State
Zip
39466-2700
Phone Number
601-569-0872
Fax Number
person
Provider Business Mailing Address Details
Address
1003 E Sycamore Rd
City
State
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
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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