Organization
THE GULF COAST CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK ELIZONDO (CFO)
(409) 763-2373
Entity
Organization
Contact information
Practice address
4444 W MAIN ST, LEAGUE CITY, TX 77573-1737
(409) 763-2373
(409) 978-2401
Mailing address
4444 W MAIN ST, LEAGUE CITY, TX 77573-1737
(409) 763-2373
(409) 978-2401
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135222101
—
TX
Enumeration date
02/14/2007
Last updated
06/28/2024
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