| Coastal Horizons Center, Inc. | |
|
615 Shipyard Blvd Wilmington NC 28412-6431 | |
| (910) 343-0145 | |
| (910) 341-5779 |
| Full Name | Coastal Horizons Center, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 615 Shipyard Blvd, Wilmington, North Carolina |
| Authorized Official Name and Position | Margaret Weller Stargell (PRESIDENT/CEO) |
| Authorized Official Contact | 9103430145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Horizons Center, Inc. 615 Shipyard Blvd Wilmington NC 28412-6431 Ph: (910) 343-0145 | Coastal Horizons Center, Inc. 615 Shipyard Blvd Wilmington NC 28412-6431 Ph: (910) 343-0145 |
| NPI Number | 1790985448 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 06/24/2020 |
| Certification Date | 06/24/2020 |
| Medicare PECOS PAC ID | 9739267964 |
|---|---|
| Medicare Enrollment ID | O20200403003105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790985448 | NPI | - | NPPES |
| 8300416T | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-065-011 (North Carolina) | Primary |
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