| Coastal Horizonscenter, Inc | |
|
20 Medical Campus Dr Suite 103 Supply NC 28462-4096 | |
| (910) 754-4515 | |
| (910) 754-9997 |
| Full Name | Coastal Horizonscenter, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 20 Medical Campus Dr, Supply, North Carolina |
| Authorized Official Name and Position | Margaret Weller-stargell (PRESIDENT/CEO) |
| Authorized Official Contact | 9107900187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Horizonscenter, Inc 615 Shipyard Blvd Wilmington NC 28412-6431 Ph: (910) 343-0145 | Coastal Horizonscenter, Inc 20 Medical Campus Dr Suite 103 Supply NC 28462-4096 Ph: (910) 754-4515 |
| NPI Number | 1356580674 |
|---|---|
| Provider Enumeration Date | 02/10/2009 |
| Last Update Date | 02/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356580674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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