Organization
THE GULF COAST CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE LITTLE (ASST. DIRECTOR OF REIMBURSEMENT)
(409) 763-2373
Entity
Organization
Contact information
Practice address
4444 W MAIN ST, LEAGUE CITY, TX 77573-1737
(409) 763-2373
(409) 978-2401
Mailing address
4444 W MAIN ST, LEAGUE CITY, TX 77573-1737
(409) 763-2373
(281) 338-0590
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
874-274D
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215711701
—
TX
Enumeration date
08/10/2010
Last updated
05/14/2025
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