| Coastal Carolina Neuropsychiatric Crisis Services, Pa | |
|
117 Beasley Street Kenansville NC 28349-0000 | |
| (910) 275-0222 | |
| Not Available |
| Full Name | Coastal Carolina Neuropsychiatric Crisis Services, Pa |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 117 Beasley Street, Kenansville, North Carolina |
| Authorized Official Name and Position | Ashraf G Mikhail (PRESIDENT/CEO) |
| Authorized Official Contact | 9102750222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Carolina Neuropsychiatric Crisis Services, Pa 200 Tarpon Trl Jacksonville NC 28546-5287 Ph: (910) 275-0222 | Coastal Carolina Neuropsychiatric Crisis Services, Pa 117 Beasley Street Kenansville NC 28349-0000 Ph: (910) 275-0222 |
| NPI Number | 1699089516 |
|---|---|
| Provider Enumeration Date | 08/03/2010 |
| Last Update Date | 08/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699089516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (North Carolina) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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