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Organization
COASTAL PLAINS COMMUNITY MHMR CENTER
Active
Organization
COASTAL PLAINS COMMUNITY MHMR CENTER
Active
Other names
Coastal Plains Community Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONEL TREJO (CHIEF EXECUTIVE OFFICER)
(361) 777-3991
Entity
Organization
Contact information
Practice address
200 MARRIOTT DRIVE, PORTLAND, TX 78374-2213
(361) 777-3991
(361) 777-0610
Mailing address
P.O. BOX 1336, PORTLAND, TX 78374-2213
(361) 777-3991
(361) 777-0610
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
02/06/2025
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