Gulf Bend Mhmr Center

NPI #1720057904 in Victoria, Texas

Provider Information

NPI Number: 1720057904
Entity Type: Organization
Organization Name: Gulf Bend Mhmr Center
Primary Specialty: Case Management
Enumeration Date: Mar 17, 2006
Last Updated: Aug 3, 2010

Practice Location

Address: 6502 NURSERY DR
Address 2: SUITE100
City: Victoria
State: Texas
ZIP Code: 77904-1178
Phone: (361) 575-0611

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Social Worker - Clinical — Clinical	1041C0700X
Case Manager/Care Coordinator	171M00000X
Community/Behavioral Health	251S00000X
Case Management	251B00000X	Primary

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