| Coastal Horizons Center Inc. | |
|
613 Shipyard Boulevard Wilmington NC 28412-6492 | |
| (910) 769-1095 | |
| (910) 769-3665 |
| Full Name | Coastal Horizons Center Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 613 Shipyard Boulevard, Wilmington, 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. 615 Shipyard Blvd Wilmington NC 28412-6431 Ph: (910) 343-0145 | Coastal Horizons Center Inc. 613 Shipyard Boulevard Wilmington NC 28412-6492 Ph: (910) 769-1095 |
| NPI Number | 1821504465 |
|---|---|
| Provider Enumeration Date | 12/19/2017 |
| Last Update Date | 12/21/2023 |
| Certification Date | 12/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821504465 | NPI | - | NPPES |
| 800416Q | Medicaid | NC | |
| 8300416H | Medicaid | NC | |
| 8301322Q | Medicaid | NC | |
| 8302795Q | Medicaid | NC | |
| 8301322H | Medicaid | NC | |
| 3410030 | Medicaid | NC | |
| 8300416 | Medicaid | NC | |
| 8300416T | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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