Provider Demographics
NPI:1861626236
Name:GULF COAST CHILDREN'S ADVOCACY CENTER INC.
Entity Type:Organization
Organization Name:GULF COAST CHILDREN'S ADVOCACY CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JARRED
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-872-7760
Mailing Address - Street 1:700 W 23RD ST
Mailing Address - Street 2:BUILDING E SUITE 40
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-3936
Mailing Address - Country:US
Mailing Address - Phone:850-872-7760
Mailing Address - Fax:850-872-7780
Practice Address - Street 1:700 W 23RD ST
Practice Address - Street 2:BUILDING E SUITE 40
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-3936
Practice Address - Country:US
Practice Address - Phone:850-872-7760
Practice Address - Fax:850-872-7780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable