Organization
GULF COAST TEACHING FAMILY SERVICES, INC.
Active
Other names
Gulf Coast Social Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE GREEN MPA (CEO)
(504) 831-6561
Entity
Organization
Contact information
Practice address
700 PUJO ST STE A, LAKE CHARLES, LA 70601-4378
(337) 436-6622
(337) 436-4403
Mailing address
2400 EDENBORN AVE, METAIRIE, LA 70001-1817
(504) 831-6561
(504) 835-3156
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11764
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1984213
—
LA
Enumeration date
02/28/2007
Last updated
09/29/2022
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