# GULF COAST TREATMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346396397
- **Authorized official:** MS. LINDA GABRIEL M.S., CMA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (251) 865-0123

## Contact information

- **Practice address:** 12271 INTERCHANGE RD., GRAND BAY, AL 36541
- **Practice address phone:** (251) 865-0123
- **Practice address fax:** (251) 865-0247
- **Mailing address:** PO BOX 1149, GRAND BAY, AL 36541-1149
- **Mailing address phone:** (251) 865-0123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | AL10034M | AL | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 07/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 111108 | REGISTERED PHARMACY | AL |
| 01 | — | AL10034M | FEDERAL OTP NUMBER | AL |