Organization
GULF BEND MGMR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA A NEISSER (REVENUE ANALYST)
(361) 575-0611
Entity
Organization
Contact information
Practice address
6502 NURSERY DRIVE, VICTORIA, TX 77904
(361) 575-0611
(361) 575-0626
Mailing address
6502 NURSERY DR, VICTORIA, TX 77904-1178
(361) 575-0611
(361) 575-0626
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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