| Coastal Mental Health Service Providers | |
|
104 Winner Ave Suite 1 Carolina Beach NC 28428-4801 | |
| (910) 707-0516 | |
| (910) 707-0516 |
| Full Name | Coastal Mental Health Service Providers |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 104 Winner Ave, Carolina Beach, North Carolina |
| Authorized Official Name and Position | Diane Lynn Dougan (ASSOCIATE EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9107070516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Mental Health Service Providers 104 Winner Ave Suite 1 Carolina Beach NC 28428-4801 Ph: (910) 707-0516 | Coastal Mental Health Service Providers 104 Winner Ave Suite 1 Carolina Beach NC 28428-4801 Ph: (910) 707-0516 |
| NPI Number | 1831320985 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 11/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831320985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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