Specialized Treatment Facility in Gulfport - Psychiatric Residential Treatment Facility
Specialized Treatment Facility - NPI 1013922954
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 1013922954. 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 | 1013922954 |
|---|---|
| Provider Enumeration Date | 2006-07-29 |
| 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 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4333899 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Specialized Treatment Facility by the Centers for Medicare & Medicaid Services?
The Specialized Treatment Facility has been issued the NPI (National Provider Identifier) 1013922954. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Specialized Treatment Facility?
The Specialized Treatment Facility is physically situated at 14426 James Bond Rd, in the city of Gulfport, state of MS, with the postal code 395038311.
What is Specialized Treatment Facility's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Specialized Treatment Facility's specialized field of practice is Psychiatric Residential Treatment Facility, and the corresponding taxonomy code that categorizes this area of specialization is 323P00000X.
On what date did the Specialized Treatment Facility receive the assignment of its 1013922954 from the Centers for Medicare & Medicaid Services?
The Specialized Treatment Facility was issued its 1013922954 by the Centers for Medicare & Medicaid Services on 2006-07-29.
As of what date was the information regarding Specialized Treatment Facility, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Specialized Treatment Facility, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-12-05.
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