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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