Beacon Behavioral Health Gulf Coast INC

NPI #1851359780 in Biloxi, Mississippi

Provider Information

NPI Number
1851359780
Entity Type
Organization
Organization Name
Beacon Behavioral Health Gulf Coast INC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
May 2, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
12450 SHORTCUT ROAD
Address 2
SUITE E
City
Biloxi
ZIP Code
39532
Phone
(228) 392-3240

Authorized Official

Name
EARL J WILDE III
Title
CHAIRMAN OF THE BOARD
Phone
(225) 810-4040

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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