| Coastal Addiction Recovery Llc | |
|
2179 Ashley Phosphate Rd Ste B North Charleston SC 29406-4180 | |
| (843) 718-3168 | |
| Not Available |
| Full Name | Coastal Addiction Recovery Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2179 Ashley Phosphate Rd Ste B, North Charleston, South Carolina |
| Authorized Official Name and Position | Jodie Moore (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8437183168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Addiction Recovery Llc 2179 Ashley Phosphate Rd Ste B North Charleston SC 29406-4180 Ph: () - | Coastal Addiction Recovery Llc 2179 Ashley Phosphate Rd Ste B North Charleston SC 29406-4180 Ph: (843) 718-3168 |
| NPI Number | 1083184576 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 11/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083184576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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