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Organization
GULF SHORES OUTPATIENT SUBSTANCE CENTER
Active
Organization
GULF SHORES OUTPATIENT SUBSTANCE CENTER
Active
Other names
Gulf Shores Academy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIAN JOHNSON M.ED. (CEO)
(713) 773-3443
Entity
Organization
Contact information
Practice address
9896 BISSONNET ST, 250, HOUSTON, TX 77036-8104
(713) 773-3443
(713) 773-3565
Mailing address
9896 BISSONNET ST, 250, HOUSTON, TX 77036-8104
(713) 773-3443
(713) 773-3565
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1684
TX
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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