Organization
GULF COAST RECOVERY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY MATTHEWS (MANAGER)
(228) 594-3377
Entity
Organization
Contact information
Practice address
14231 SEAWAY RD STE 2003, GULFPORT, MS 39503-4635
(228) 594-3377
(228) 594-6688
Mailing address
14231 SEAWAY RD STE 2003, GULFPORT, MS 39503-4635
(228) 594-3377
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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