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Organization

TBD ACQUISITION II, LLC

Active
Other names
Gulfport Behavioral Health System
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization

Contact information

Practice address
11150 HIGHWAY 49 STE B, GULFPORT, MS 39503-4110
(228) 867-5202
Mailing address
11150 HIGHWAY 49, GULFPORT, MS 39503-4110

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MS

Other

Enumeration date
01/19/2018
Last updated
01/19/2018
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