| Coastal Rehabilition Associates | |
|
2800 Ashton Dr Suite 100 Wilmington NC 28412-2575 | |
| (910) 794-8892 | |
| (910) 794-8895 |
| Full Name | Coastal Rehabilition Associates |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2800 Ashton Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Steve Walters (ADMINISTRATOR) |
| Authorized Official Contact | 9107948892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Rehabilition Associates Po Box 4217 Wilmington NC 28406-1217 Ph: (910) 794-8892 | Coastal Rehabilition Associates 2800 Ashton Dr Suite 100 Wilmington NC 28412-2575 Ph: (910) 794-8892 |
| NPI Number | 1316164775 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316164775 | NPI | - | NPPES |
| 017XK | Other | NC | BCBS GROUP |
| 6005828 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2564 (North Carolina) | Primary |
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