| Goodwill Industries Of South Texas | |
|
2961 S Port Ave Corpus Christi TX 78405-2098 | |
| (361) 884-4068 | |
| (361) 884-4090 |
| Full Name | Goodwill Industries Of South Texas |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2961 S Port Ave, Corpus Christi, Texas |
| Authorized Official Name and Position | Rachel V. Loera (VICE PRESIDENT OF MISSION SERVICES) |
| Authorized Official Contact | 3618844068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodwill Industries Of South Texas 2961 S Port Ave Corpus Christi TX 78405-2098 Ph: (361) 884-4068 | Goodwill Industries Of South Texas 2961 S Port Ave Corpus Christi TX 78405-2098 Ph: (361) 884-4068 |
| NPI Number | 1336620889 |
|---|---|
| Provider Enumeration Date | 08/23/2018 |
| Last Update Date | 08/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336620889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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