Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Specialized Treatment Facility

Organization Psychiatric Residential Treatment Facility · NPI 1467637488

Specialized Treatment Facility is a Psychiatric Residential Treatment Facility in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2008.

Licensed in
MS
In the registry since
2008

Practice location Address checks out

14426 James Bond Rd
Gulfport, MS 39503-8311
Phone: (228) 328-6000
Fax: (228) 328-6035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Residential Treatment Facility (primary) Taxonomy 323P00000X · Licence 981 (MS)

Record details

NPI number1467637488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Bush — Program Director · (228) 328-6000
NPI enumeratedJanuary 9, 2008
Last updated in NPPESDecember 5, 2019
Mailing address14426 James Bond Rd, Gulfport, MS 39503-8311

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