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Organization

MISSISSIPPI COMPREHENSIVE TREATMENT CENTERS, LLC

Active
Other names
Gulf Coast Comprehensive Treatment Center
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN PELOQUIN PHD (PRESIDENT, CTC DIVISION)
(855) 259-2288
Entity
Organization

Contact information

Practice address
14070 DEDEAUX RD, GULFPORT, MS 39503-4502
(877) 533-5686
Mailing address
6185 PASEO DEL NORTE STE 150, CARLSBAD, CA 92011-1155
(855) 259-2288

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary

Other

Enumeration date
01/16/2017
Last updated
01/16/2017
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