| Gulf Bend Mental Health Mental Retardation Center | |
|
6502 Nursery Dr Ste 100 Victoria TX 77904-1181 | |
| (361) 582-2331 | |
| (361) 579-6913 |
| Full Name | Gulf Bend Mental Health Mental Retardation Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6502 Nursery Dr Ste 100, Victoria, Texas |
| Authorized Official Name and Position | Felicia Ann Neisser (REVENUE MANAGER) |
| Authorized Official Contact | 3615750611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Bend Mental Health Mental Retardation Center 6502 Nursery Dr Ste 100 Victoria TX 77904-1181 Ph: (361) 582-2331 | Gulf Bend Mental Health Mental Retardation Center 6502 Nursery Dr Ste 100 Victoria TX 77904-1181 Ph: (361) 582-2331 |
| NPI Number | 1841011996 |
|---|---|
| Provider Enumeration Date | 10/22/2024 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841011996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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