Specialized Treatment Facility in Gulfport - Psychiatric Residential Treatment Facility
Specialized Treatment Facility - NPI 1467637488
Specialized Treatment Facility is a Psychiatric Residential Treatment Facility in Gulfport, Mississippi. Specialized Treatment Facility practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Specialized Treatment Facility is 1467637488. The last update date is 2019-12-05.
Specialized Treatment Facility's current location address is 14426 James Bond Rd, Gulfport, Mississippi. You can contact this provider via phone number 2283286000 and fax number 2283286035. The mailing address for Specialized Treatment Facility is 14426 James Bond Rd, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Specialized Treatment Facility |
|---|---|
| Address | 14426 James Bond Rd, Gulfport, Mississippi |
| Phone Number | 2283286000 |
| Fax Number | 2283286035 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM DI |
|---|---|
| Authorized Official Name | Bush Y Shannon |
| Credentials | MPA |
| Telephone Number | 2283286000 |
NPI Number Detail
| NPI Number | 1467637488 |
|---|---|
| Provider Enumeration Date | 2008-01-09 |
| Last Updated Date | 2019-12-05 |
Provider Mailing Address Detail
| Address | 14426 James Bond Rd |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395038311 |
| Phone Number | 2283286000 |
| Fax Number | 2283286035 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | 981 |
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Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4333899 | MS | -- | |
| 1013922954 | MS | NPI |
Post Comment/ Review Below
What is the Specialized Treatment Facility's unique identification number?
The Specialized Treatment Facility has been assigned the NPI (National Provider Identifier) Number 1467637488 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Specialized Treatment Facility?
The Specialized Treatment Facility is situated at 14426 James Bond Rd, in the city of Gulfport, state of MS, with the zip code 395038311.
What is the Specialized Treatment Facility's area of specialization and corresponding taxonomy classification?
The Specialized Treatment Facility's specialty field is Psychiatric Residential Treatment Facility, and it falls under the taxonomy code 323P00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1467637488 to Specialized Treatment Facility?
The Centers for Medicare & Medicaid Services assigned the 1467637488 to Specialized Treatment Facility on 2008-01-09.
When was the information regarding Specialized Treatment Facility most recently updated?
The details pertaining to the Specialized Treatment Facility, including its address, specialty, and other relevant information, were last refreshed on 2019-12-05.