# GULF BEND MHMR CENTER TXHML PROGRAM

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

## Provider details

- **NPI number:** 1952336398
- **Authorized official:** DONALD L POLZIN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (361) 575-0611

## Contact information

- **Practice address:** 1502 E AIRLINE RD, SUITE 25, VICTORIA, TX 77901-4112
- **Practice address phone:** (361) 575-0611
- **Practice address fax:** (361) 582-2329
- **Mailing address:** 1502 E AIRLINE RD, SUITE 25, VICTORIA, TX 77901-4112
- **Mailing address phone:** (361) 575-0611
- **Mailing address fax:** (361) 582-2329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 08/22/2020