| Coastal Family Services, Pllc | |
|
1100 S Clinton Ave Ste C Dunn NC 28334-6325 | |
| (910) 891-1222 | |
| (910) 891-1333 |
| Full Name | Coastal Family Services, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1100 S Clinton Ave Ste C, Dunn, North Carolina |
| Authorized Official Name and Position | Eric Antoine Williams (CEO) |
| Authorized Official Contact | 9108911222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Family Services, Pllc Po Box 68 Dunn NC 28335-0068 Ph: (910) 891-1222 | Coastal Family Services, Pllc 1100 S Clinton Ave Ste C Dunn NC 28334-6325 Ph: (910) 891-1222 |
| NPI Number | 1134308349 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 06/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134308349 | NPI | - | NPPES |
| 6006431 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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