Organization
GULF COAST TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA GABRIEL M.S., CMA (EXECUTIVE DIRECTOR)
(251) 865-0123
Entity
Organization
Contact information
Practice address
12271 INTERCHANGE RD., GRAND BAY, AL 36541
(251) 865-0123
(251) 865-0247
Mailing address
PO BOX 1149, GRAND BAY, AL 36541-1149
(251) 865-0123
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AL10034M
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111108
REGISTERED PHARMACY
AL
01
—
AL10034M
FEDERAL OTP NUMBER
AL
Enumeration date
01/25/2007
Last updated
07/01/2010
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