| 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 | Psychiatry & Neurology - Addiction Medicine |
| Location | 2179 Ashley Phosphate Rd Ste B, North Charleston, South Carolina |
| Authorized Official Name and Position | Jodi Moore (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Contact | 8643032499 |
| 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: (843) 718-3168 | Coastal Addiction Recovery Llc 2179 Ashley Phosphate Rd Ste B North Charleston SC 29406-4180 Ph: (843) 718-3168 |
| NPI Number | 1942701792 |
|---|---|
| Provider Enumeration Date | 02/27/2018 |
| Last Update Date | 02/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942701792 | NPI | - | NPPES |
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