Alice Gath

NPI #1376117986 in Picayune, Mississippi

Provider Information

NPI Number: 1376117986
Entity Type: Individual
Name: Alice Gath
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 18, 2021
Last Updated: May 18, 2021

Practice Location

Address: 1003 E SYCAMORE RD
City: Picayune
State: Mississippi
ZIP Code: 39466-2700
Phone: (601) 569-0872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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