Organization
GULF COAST OPPORTUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED SMITH (DIRECTOR)
(318) 641-3717
Entity
Organization
Contact information
Practice address
4115 GALVESTON ROAD, HOUSTON, TX 77017
(713) 475-2228
(318) 641-6282
Mailing address
4333 SHREVEPORT HWY, PINEVILLE, LA 71360
(318) 445-6470
(318) 641-6282
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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