Gulf Bend Mrmr Center Icf/mr

NPI #1649200684 in Victoria, Texas

Provider Information

NPI Number: 1649200684
Entity Type: Organization
Organization Name: Gulf Bend Mrmr Center Icf/mr
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 306 EDINBURGH ST
City: Victoria
State: Texas
ZIP Code: 77904-2864
Phone: (361) 575-0611

Authorized Official

Name: DONALD POLZIN
Title: EXECUTIVE DIRECTOR
Phone: (361) 575-0611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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