Coastal Adolescent Behavioral Health | |
1135 Bowman Rd Ste 529c Mount Pleasant SC 29464-3205 | |
(843) 849-9009 | |
Not Available |
Full Name | Coastal Adolescent Behavioral Health |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 1135 Bowman Rd Ste 529c, Mount Pleasant, South Carolina |
Authorized Official Name and Position | Katherine Graber Lazarovici (PRESIDENT) |
Authorized Official Contact | 8438499009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coastal Adolescent Behavioral Health 1135 Bowman Rd Ste 529c Mount Pleasant SC 29464-3205 Ph: (843) 849-9009 | Coastal Adolescent Behavioral Health 1135 Bowman Rd Ste 529c Mount Pleasant SC 29464-3205 Ph: (843) 849-9009 |
NPI Number | 1184855876 |
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Provider Enumeration Date | 07/29/2009 |
Last Update Date | 07/12/2010 |
Identifier | Type | State | Issuer |
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1184855876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | 31462 (South Carolina) | Primary |
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