| Coastal Southeastern United Care Llc | |
|
818 S Main St Suite 100-104 Bladenboro NC 28320 | |
| (910) 863-4000 | |
| (910) 863-3169 |
| Full Name | Coastal Southeastern United Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 818 S Main St, Bladenboro, North Carolina |
| Authorized Official Name and Position | Stacy Williamson (DIRECTOR) |
| Authorized Official Contact | 9107555222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Southeastern United Care Llc Po Box 1585 Shallotte NC 28459-1585 Ph: (910) 796-3350 | Coastal Southeastern United Care Llc 818 S Main St Suite 100-104 Bladenboro NC 28320 Ph: (910) 863-4000 |
| NPI Number | 1093032310 |
|---|---|
| Provider Enumeration Date | 04/26/2010 |
| Last Update Date | 01/27/2020 |
| Certification Date | 01/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093032310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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