| Coastal Horizons Center Inc. | |
|
309 Progress Dr. Burgaw NC 28425 | |
| (910) 259-0668 | |
| (910) 259-4526 |
| Full Name | Coastal Horizons Center Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 309 Progress Dr., Burgaw, North Carolina |
| Authorized Official Name and Position | Talmadge Lindsay Joines (QUALITY IMPROVEMENT TRAINING DIR.) |
| Authorized Official Contact | 9102025709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Horizons Center Inc. Po Box 550 Burgaw NC 28425-0550 Ph: (910) 259-0668 | Coastal Horizons Center Inc. 309 Progress Dr. Burgaw NC 28425 Ph: (910) 259-0668 |
| NPI Number | 1467948729 |
|---|---|
| Provider Enumeration Date | 07/10/2018 |
| Last Update Date | 07/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467948729 | NPI | - | NPPES |
| 8301322Q | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Coastal Horizons Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Progress Dr., Burgaw, NC 28425 Phone: 910-259-0668 Fax: 910-259-4526 |