| Coastal Community Care Services Llc | |
|
1015 Ashes Dr Ste 202 Wilmington NC 28405-8338 | |
| (910) 431-2996 | |
| Not Available |
| Full Name | Coastal Community Care Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1015 Ashes Dr Ste 202, Wilmington, North Carolina |
| Authorized Official Name and Position | Eddie Jerome Smith (MANAGER) |
| Authorized Official Contact | 9104312996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Community Care Services Llc 1015 Ashes Dr Ste 202 Wilmington NC 28405-8338 Ph: (910) 431-2996 | Coastal Community Care Services Llc 1015 Ashes Dr Ste 202 Wilmington NC 28405-8338 Ph: (910) 431-2996 |
| NPI Number | 1871929679 |
|---|---|
| Provider Enumeration Date | 09/25/2013 |
| Last Update Date | 09/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871929679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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