Ability Club Corporation
NPI #1275938763 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1275938763
- Entity Type
- Organization
- Organization Name
- Ability Club Corporation
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 27, 2014
- Last Updated
- Oct 27, 2014
Practice Location
- Address
- 11551 PINE DR
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39503-3998
- Phone
- (251) 404-0016
Authorized Official
- Name
- MR. WADE MITCHELL OGLETREE, MS
- Title
- CEO
- Phone
- (251) 404-0016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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