Gulfport Behavioral Health System | |
11150 Highway 49 Ste B Gulfport MS 39503-4110 | |
(228) 867-5202 | |
Not Available |
Full Name | Gulfport Behavioral Health System |
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Speciality | Social Worker - Clinical |
Location | 11150 Highway 49 Ste B, Gulfport, Mississippi |
Authorized Official Name and Position | Steve Filton (SR VP CFO) |
Authorized Official Contact | 6107683300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gulfport Behavioral Health System 11150 Highway 49 Gulfport MS 39503-4110 Ph: () - | Gulfport Behavioral Health System 11150 Highway 49 Ste B Gulfport MS 39503-4110 Ph: (228) 867-5202 |
NPI Number | 1003324419 |
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Provider Enumeration Date | 01/19/2018 |
Last Update Date | 01/19/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003324419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Mississippi) | Primary |
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