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Organization

GULF COAST CHILDREN'S ADVOCACY CENTER, INC.

Active
Other names
Gulf Coast Sexual Assault Program
Organization subpart
No

Provider details

NPI number
Authorized official
LORI MARIE ALLEN MSPH (CHIEF EXECUTIVE OFFICER)
(850) 872-7760
Entity
Organization

Contact information

Practice address
210 EAST 11TH STREET, PANAMA CITY, FL 32401
(850) 872-7760
Mailing address
210 EAST 11TH STREET, PANAMA CITY, FL 32401
(850) 872-7760

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2080C0008X
Child Abuse Pediatrics Physician
Primary
251B00000X
Case Management Agency
374J00000X
Doula

Other

Enumeration date
09/19/2024
Last updated
09/19/2024
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