Provider Demographics
NPI:1457305302
Name:THE GULF COAST CENTER
Entity Type:Organization
Organization Name:THE GULF COAST CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:WINBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-763-2373
Mailing Address - Street 1:PO BOX 2490
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77553-2490
Mailing Address - Country:US
Mailing Address - Phone:409-763-2373
Mailing Address - Fax:409-763-5538
Practice Address - Street 1:123 ROSENBERG ST
Practice Address - Street 2:SUITE 6
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-1494
Practice Address - Country:US
Practice Address - Phone:409-763-2373
Practice Address - Fax:409-763-5538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)