Organization
GULF COAST CHILDREN'S ADVOCACY CENTER, INC.
Active
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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